The use of axial pattern flaps in the reconstruction of postresective oncological maxillofacial defects

Mihai Guzu

Andrew Perry

Safety-margin resection constitutes the gold standard treatment for most of the oromaxillofacial tumors in dogs and cats. Management of large defects resulting from those oncologic procedures must take into account specific oromaxillofacial anatomic and functional considerations. Excellent knowledge of the different reconstructive options available permits to prevent the inability of closing the defect, which could lead to an insufficient resection. Preserving vital functions, as well as a good cosmesis are also key elements for the owner’s acceptance of the resective surgery. Locoregional axial-pattern flaps constitute an important component of the therapeutic armamentarium as they allow for immediate reconstruction of the defects while ensuring those important features. These flaps are versatile and reliable and, due to their anatomical proximity, are adapted to first-intent reconstruction of medium to large orofacial defects. A surgical decision algorithm based on the size, nature and location of the defect is proposed.