Use of rotational periosteal flaps in primary repair of sinofacial fractures in seven horses.
Abstract: Case history: Medical records were reviewed of horses (n = 7) undergoing surgery for fracture of one or more facial bones extending into the paranasal sinuses that was repaired primarily within 24 hours of the time of injury using a rotational periosteal flap, between April 2009 and May 2017. A kick from another horse was the cause of the injury of three horses, and one horse was injured when it collided with a tree. The cause of the injury of three horses was unknown.Clinical findings and treatment: Fractures were of the right maxillary bone in two horses, the left maxillary bone in two horses, the left frontal and left nasal bones in two horses, and the right frontal bones in one horse. The fracture of all but one horse was accompanied by an open wound. The fracture of all seven horses was reduced, stabilised, and covered with a rotational, periosteal flap. Surgery was carried out while standing in six horses, and while anesthetised in one horse. All horses had a deficit in the fractured facial bones after the fracture was reduced. Four horses had complications following surgery, but all horses were reported to have excellent cosmetic outcomes and had retuned to their previous level of activity, as reported by their owners.Clinical relevance: Covering a primarily repaired sinofacial fracture of a horse with a rotational periosteal flap resulted in good cosmetic outcomes, and may be especially beneficial if the fracture is accompanied by loss of bone.
Publication Date: 2019-10-24 PubMed ID: 31587623DOI: 10.1080/00480169.2019.1675555Google Scholar: Lookup
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- Journal Article
Summary
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The study discusses the use of rotational periosteal flaps for repairing facial fractures in horses, which were primarily operated upon within a day of the injury. It concludes that this procedure results in good cosmetic outcomes and horses resuming their previous activities.
Objective of the Research
- The main objective of this research is to evaluate the effectiveness of using rotational periosteal flaps in the primary repair of facial fractures in horses.
Research Methodology
- The study analyzed the medical records of seven horses that underwent surgeries for fractures extending into the paranasal sinuses between April 2009 and May 2017.
- The injuries were due to kicks from other horses, collision with a tree, or unknown causes.
- The fractures were evaluated based on their location in either the right or left maxillary bone, the left frontal and left nasal bones, or the right frontal bones.
- Most of the fractures were accompanied by open wounds except for one case.
- The surgery conducted involved reduction, stabilisation, and coverage of the fracture with a rotational, periosteal flap.
Results
- Post the reduction of the fracture, all the horses had a deficit in the fractured facial bones.
- Four horses experienced complications following surgery.
- Despite complications, all the horses had excellent cosmetic outcomes, and they were reported to have returned to their previous level of activity as per the owners’ information.
Conclusion
- The use of a rotational periosteal flap in repairing sinofacial fractures resulted in good cosmetic outcomes.
- The study suggests that this method may be especially beneficial if the fracture is accompanied by loss of bone.
Cite This Article
APA
Gustafsson K, Tatz AJ, Dahan R, Kelmer G.
(2019).
Use of rotational periosteal flaps in primary repair of sinofacial fractures in seven horses.
N Z Vet J, 68(2), 119-125.
https://doi.org/10.1080/00480169.2019.1675555 Publication
Researcher Affiliations
- Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
- Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
- Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
- Department of Large Animal Medicine and Surgery, Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
MeSH Terms
- Animals
- Female
- Fractures, Bone / surgery
- Fractures, Bone / veterinary
- Horse Diseases / surgery
- Horses / injuries
- Male
- Nasal Bone / injuries
- Nasal Bone / surgery
- Retrospective Studies
- Surgical Flaps / classification
- Surgical Flaps / veterinary
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