Rhomboid blepharoplasty and cryotherapy for the treatment of a squamous cell carcinoma on the lower eyelid in a horse

Jeanes, Emily C.; Koll-Hampp, Sarah; Dawson, Charlotte; Dunkel, Bettina; Pont, Roser Tetas

doi:10.1002/ccr3.1907

Cited by 3 publications

(6 citation statements)

References 30 publications

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“…Another potential complication of medial canthal reconstruction is disruption of the nasolacrimal apparatus. Excessive tearing was not documented in any of our patients, similar to other veterinary patients that underwent mass resection in the medial eyelids region 2,4,6 . Nonetheless, special care should be taken to avoid inadvertent injury to the nasolacrimal apparatus and consider relocating the nasolacrimal puncta deep in the conjunctival fornix as described herein and in previous work 10…”

Section: Discussionsupporting

confidence: 82%

“…Excessive tearing was not documented in any of our patients, similar to other veterinary patients that underwent mass resection in the medial eyelids region. 2,4,6 Nonetheless, special care should be taken to avoid inadvertent injury to the nasolacrimal apparatus and consider relocating the nasolacrimal puncta deep in the conjunctival fornix as described herein and in previous work. 10 Other blepharoplasty procedures can be considered for managing skin defects in the medial canthal area of veterinary patients, including an axial pattern flap (dog with MCT), 6 local transposition cutaneous flap (cats with eyelid tumors), 2 rhomboid blepharoplasty (horse with squamous cell carcinoma), 4 and H-plasty (horse with melanoma).…”

Section: Discussionmentioning

confidence: 89%

“…2,4,6 Nonetheless, special care should be taken to avoid inadvertent injury to the nasolacrimal apparatus and consider relocating the nasolacrimal puncta deep in the conjunctival fornix as described herein and in previous work. 10 Other blepharoplasty procedures can be considered for managing skin defects in the medial canthal area of veterinary patients, including an axial pattern flap (dog with MCT), 6 local transposition cutaneous flap (cats with eyelid tumors), 2 rhomboid blepharoplasty (horse with squamous cell carcinoma), 4 and H-plasty (horse with melanoma). 5 Good cosmetic outcomes and ocular surface health were achieved although trichiasis was also a common postoperative complication.…”

Section: Discussionmentioning

confidence: 89%

“…[2][3][4][5][6] In feline patients, Schmidt et al described a local transposition cutaneous flap following eyelid mass resection in five cats, three of whom with medial canthus involvement, 2 while Del Magno et al described a caudal auricular axial pattern flap to reconstruct the upper eyelid in three cats, one of whom with medial upper eyelid involvement. 3 A rhomboid blepharoplasty and an H-plasty were reported for the removal of squamous cell carcinoma and melanoma involving the medial canthus of equine patients, 4,5 respectively, while a temporal axial pattern flap was used to cover the medial canthal defect in a dog following mast cell tumor removal. 6 On the other hand, blepharoplasty of the medial canthus is well documented in human medicine, in part because medially located lesions are relatively common in human patients.…”

Section: Introductionmentioning

confidence: 99%

“…For eyelid defects located in the medial canthus region, only a handful of case reports are described in veterinary medicine 2–6 . In feline patients, Schmidt et al described a local transposition cutaneous flap following eyelid mass resection in five cats, three of whom with medial canthus involvement, 2 while Del Magno et al described a caudal auricular axial pattern flap to reconstruct the upper eyelid in three cats, one of whom with medial upper eyelid involvement 3 .…”

Section: Introductionmentioning

confidence: 99%

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Standard and modified glabellar flap for medial canthus reconstruction following mass removal in three dogs and two cats

Sarfaty¹,

Ezra‐Elia²,

Kahane³

et al. 2023

Veterinary Ophthalmology

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Purpose To describe the surgical technique and clinical outcomes of the glabellar flap and its modification for the reconstruction of the medial canthus following resection of tumors in three dogs and two cats. Methods Three dogs (7‐, 7‐, and 12.5‐year‐old mixed breeds) and two cats (10‐ and 14‐year‐old Domestic shorthair) presented with a 7–13 mm tumor affecting the eyelid and/or conjunctiva in the medial canthal region. Following en bloc mass excision, an inverted V‐shaped skin incision was made in the glabellar region (i.e., the area between the eyebrows in humans). The apex of the inverted V‐shaped flap was rotated in three cases, whereas a horizontal sliding movement was performed in the other two cases to better cover the surgical wound. The surgical flap was then trimmed to fit the surgical wound and sutured in place in two layers (subcutaneous and cutaneous). Results Tumors were diagnosed as mast cell tumors (n = 3), amelanotic conjunctival melanoma (n = 1), and apocrine ductal adenoma (n = 1). No recurrence was noted in a follow‐up time of 146 ± 84 days. Satisfactory cosmetic outcome with normal eyelids closure was achieved in all cases. Mild trichiasis was present in all patients and mild epiphora was noted in 2/5 patients, but there were no associated clinical signs such as discomfort or keratitis. Conclusions The glabellar flap was easy to perform and provided a good outcome in terms of cosmetic, eyelid function, and corneal health. Postoperative complications from trichiasis appear to be minimized by the presence of the third eyelid in this region.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Standard and modified glabellar flap for medial canthus reconstruction following mass removal in three dogs and two cats

Sarfaty¹,

Ezra‐Elia²,

Kahane³

et al. 2023

Veterinary Ophthalmology

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Diseases of the Nasolacrimal System and Ocular Adnexa

Smith¹,

Giuliano²

2022

Equine Ophthalmology

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Novel use of a combination of extracellular matrices for wound healing following resection of a large inferior eyelid mass in a miniature Hereford

Foote¹,

Smith²,

Allbaugh³

et al. 2020

javma

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CASE DESCRIPTION A 9-month-old miniature Hereford heifer was evaluated for a mass on the right inferior eyelid that had progressed in size over 3 months. CLINICAL FINDINGS Physical examination revealed a firm, ulcerated, pedunculated mass on the right inferior eyelid that extended from the medial quarter to beyond the lateral canthus of the eye. The base of the mass measured 7.4 × 6.7 cm, and the dorsal margin of the base of the mass was approximately 3 mm ventral to the inferior eyelid margin. Histologic evaluation of incisional biopsy specimens from the mass was consistent with fibrosarcoma. TREATMENT AND OUTCOME The mass was surgically resected with care taken to preserve the eyelid margin. The resulting 10 × 8.5-cm surgical wound was treated with adjunct CO2 laser therapy and closed by primary closure at its medial and central aspects and placement of a 4.6 × 2.6-cm lyophilized equine amnion multilayer graft and 2 sheets of 4-ply porcine small intestinal submucosa at its lateral aspect. The grafts were kept moist by alternating topical antimicrobial and artificial tear ointments for 3 weeks. The wound healed without complications, resulting in a functional and aesthetically pleasing outcome despite the development of moderate ectropion at the lateral aspect of the inferior eyelid. CLINICAL RELEVANCE Results suggested that a combination of extracellular matrix scaffolds may be an alternative to extensive skin flaps for management of large dermal wounds, particularly wounds resulting from blepharoplasty where preservation of an eyelid margin is desired.

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Rhomboid blepharoplasty and cryotherapy for the treatment of a squamous cell carcinoma on the lower eyelid in a horse

Abstract: Key Clinical MessageA rhomboid blepharoplasty can be used to achieve functional and cosmetic eyelid reconstruction at the medial canthus in the horse. Combination of a rhomboid blepharoplasty with cryotherapy is a treatment option for eyelid ocular squamous cell carcinomas.

Cited by 3 publications

References 30 publications

Standard and modified glabellar flap for medial canthus reconstruction following mass removal in three dogs and two cats

Standard and modified glabellar flap for medial canthus reconstruction following mass removal in three dogs and two cats

Diseases of the Nasolacrimal System and Ocular Adnexa

Novel use of a combination of extracellular matrices for wound healing following resection of a large inferior eyelid mass in a miniature Hereford

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