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Peer-reviewed veterinary case report

Upper eyelid tumor surgery and repair in three cats

By Del Magno, Sara et al.·Published in Journal of the American Animal Hospital Association·2020·From the Department of Veterinary Medical Sciences, Italy·View original on PubMed

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Original publication title: Caudal Auricular Axial Pattern Flap for the Reconstruction of the Upper Eyelid in Three Cats.

Species:
cat

Plain-English summary

Three cats with cancerous tumors on their upper eyelids underwent surgery to remove the tumors. To help reconstruct the eyelid after removal, a special surgical flap was used. While two of the cats developed minor corneal ulcers after the surgery, these healed with treatment, and the cats were able to blink, although with some difficulty. Most importantly, the surgery successfully removed the tumors, but two cats experienced tumor regrowth several months later. Overall, the cosmetic results were good, and the owners were satisfied with the outcome.

People also search for: cat eyelid tumor treatment · cat upper eyelid surgery · cat corneal ulcer healing · cat cancer surgery recovery

Abstract

Three cats bearing malignant tumors (two squamous cell carcinomas and one peripheral nerve sheath tumor) affecting the upper eyelid (UE) were treated by en bloc tumor removal. A caudal auricular axial pattern flap was used for reconstruction, and its margin was sutured to only the medial and lateral canthus in two cats; in the third cat, a narrow strip of spared conjunctiva was sutured to the flap margin. Postoperatively, superficial corneal ulcers occurred in two cats, but they healed with topical treatment. Apart from a reduced ability to blink, no further functional deficits persisted, and the long-term cosmetic appearance was considered satisfactory by the owners. Tumor-free excisional margins were achieved in two cases. Tumor recurrence in the long-term was observed for two cats, 350 and 380 days after surgery, one of whom had excisional noninfiltrated margins on histologic examination. UE reconstruction to preserve eyelid function following tumor excision without exenteration is challenging. In selected cases, caudal auricular axial pattern flap is one of the surgical options available to reconstruct the defect resulting from en bloc UE removal without any replacement of the mucosal layer.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32412335/