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Nasal and Facial Reconstruction in a Dog Following Severe Trauma

From the Small Animal Surgery Section, Department of Clinical Sciences, and the Wound Healing/Reconstructive Surgery Program, Scott-Ritchey Research Center, College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849.

Successful reconstruction of the nasomaxillary region requires closure of oronasal communication and maintenance of a patent upper airway. A dog with traumatic amputation of the nasomaxillary region was presented for reconstructive surgery. Staged surgical procedures were performed with the goal of closing the oronasal fistula, reapposing facial tissues, forming a granulation bed in each nasal passage, and harvesting and placing mucosal grafts in the nasal passages. A novel technique for developing a granulation tissue bed for mucosal grafts using silicone rubber tubing was employed. The end result of the reconstructive surgeries was a relatively cosmetic appearance with patent nasal openings.