title: Use of an axial pattern flap and nictitans to reconstruct medial eyelids and canthus in a dog.
abstract: A 10-year-old male neutered Boxer presented with recurrence of a mast cell tumor at the right medial canthal area. Following excision including 2 cm margins, the medial one-half of the upper and lower eyelids and the medial canthus were reconstructed using an axial pattern flap based on the cutaneous branch of the superficial temporal artery. The bulbar conjunctiva of the nictitans was preserved and sutured to the medial flap edge, thus creating a conjunctival lining to the deep aspect of the flap, protecting corneal epithelium. This is a valuable surgical technique for closing a large skin defect and reconstructing the medial eyelids, thus preserving the globe.
authors.affiliation: Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Jacobi
authors.forename: Bryden J
authors.initials: BJ
authors.lastname: Stanley
authors.forename: Simon
authors.initials: S
authors.lastname: Petersen-Jones
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Dervisis
authors.forename: Pedro A
authors.initials: PA
authors.lastname: Dominguez
mesh_terms: D000818:Animals; D003228:Conjunctiva / Q000601:surgery; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005142:Eyelid Neoplasms / Q000601:surgery / Q000662:veterinary*; D005143:Eyelids / Q000601:surgery*; D008297:Male; D012515:Mast-Cell Sarcoma / Q000601:surgery / Q000662:veterinary*; D009541:Nictitating Membrane / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods / Q000662:veterinary*; D013524:Surgical Flaps / Q000662:veterinary*; D016896:Treatment Outcome