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Commissurorraphy in the Dog.

Corinne Durand1

  • 11 Dentistry Service, Metropolitan Veterinary Associates, Valley Forge, PA, USA.

Journal of Veterinary Dentistry
|March 31, 2017
PubMed
Summary
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Commissurorraphy, a surgical lip repair, aids patients after mandibulectomy or with mandibular fractures. Surgeons use techniques to reduce tension and prevent dehiscence, a common complication.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Commissurorraphy involves repositioning the lip commissure rostrally.
  • It is indicated for unilateral or bilateral mandibulectomy cases.
  • It serves as a salvage procedure for mandibular fractures when fixation is not possible.

Purpose of the Study:

  • To describe the indications and techniques for commissurorraphy.
  • To highlight potential complications and their management.

Main Methods:

  • Unilateral commissurorraphy supports tongue function and improves aesthetics post-unilateral mandibulectomy.
  • Bilateral commissurorraphy aids in radical bilateral mandibulectomy.
  • It is used as a salvage procedure for bilateral mandibular fractures.
Keywords:
cheiloplastycommissuroplastycommissurorraphydogs

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Main Results:

  • Commissurorraphy can restore function and improve appearance in complex oral and maxillofacial defects.
  • Dehiscence is the primary complication.
  • Techniques like mattress sutures, tubing, and buttons can mitigate suture tearing.

Conclusions:

  • Commissurorraphy is a valuable surgical technique for specific reconstructive scenarios in the head and neck.
  • Careful technique is essential to minimize complications like dehiscence.