• Title/Summary/Keyword: parotid duct transposition

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Keratoconjunctivitis Sicca (KCS) and Its Surgical Therapy in a Dog (개의 건성 각결막염과 수술적 처치)

  • 우흥명
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.424-428
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    • 2001
  • Keratoconjunctivitis sicca (KCS) is a relatively common eye disease in the dog, Reduction or arrest of aqueous tear production by lacrimal glands results in quantitative alteration of the precorneal tear film (PTF) and KCS may result. A dog with a presumptive diagnosis of KCS referred was used for the study of KCS. Cytological and histopathologic examination is performed, and the various types of medical and surgical treatment are studied, including the operation of parotid duct transposition (PDT). This report described unilateral KCS in a dog of unknown etiology who responded to PDT.

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Both buccal mucosa transposition flap for reconstruction of lower lip near-total mucosal defect (아래 입술 점막 전체 결손의 재건을 위한 양측 볼점막 자리 옮김 피판술)

  • Park, Bo Young;Kang, So Ra;Kim, Yang Woo
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.109-112
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    • 2009
  • Purpose: Squamous cell carcinoma(SCC) of the lower lip is the most common malignant tumor comprising 90% of all lip SCC. The typical picture of SCC of the lower lip is of an ulcerated lesion with raised margins. Surgery is the treatment of choice for SCC of lower lip. Depending on the location and size of the tumor, different types of flaps are used. We used new method - 'both buccal mucosa transposition flap' for the reconstruction of the near total mucosal defect of the lower lip. Methods: This 67 - year - old men presented with the crusted $1cm{\times}1cm$ sized ulceration of the lower lip that was arised 30 years ago. There were no size and color change, except the bleeding and ulceration. At first, We diagnosed the SCC through the incisinal biopsy. Then We performed the wide excision of the tumor and reconstruction of the lower lip. After the excision of the whole tumor, the defect was measured at $8cm{\times}3.5cm$. We designed the buccal mucosa transposition flap taking care to avoid the parotid duct. The flap was made in a triangular shape for the reconstruction of defected lower lip. The donor site defect can be sutured primarily. Results: A patient in this study had no postoperative complications such as necrosis, dehiscence, infection of the flap or donor site. Reconstructed lower lip is relatively close to that of the natural lip; More satisfactory aesthetic and functional results can be obtained by using this technique rather than other techniques. Conclusion: 'Both buccal mucosa transposition flap' is reliable method for the reconstruction of the large lower lip mucosal defect. The operation is simple and performed in one stage, with no postoperative complications. This technique can offer consistently good functional and esthetic outcomes after reconstruction of lower lip mucosal defect.