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Reconstruction of a Large Lip Defect using Advanced Buccal Flap Cover

Reconstruction of a Large Lip Defect using Advanced Buccal Flap

Open Access
|Jun 2025

Abstract

This article describes the repair of a traumatic lesion on the upper lip of a 6 – year – old male mixed – breed dog using a full – thickness buccal advancement flap. The intact male was presented for examination by a rescue organization. The clinical assessment revealed that the dog was in good condition, though slightly dehydrated, with a temperature within normal limits and a good appetite. A significant defect on the upper right lip was identified, accompanied by discharge.

Comprehensive health evaluations, including blood tests, abdominal ultrasound, 4D testing, and head X – rays, indicated that the dog was otherwise healthy, without any concurrent diseases. Wound debridement and tooth extraction were performed, followed by wound reconstruction using a full – thickness buccal advancement flap. Post – surgery, the dog underwent polarized light therapy twice daily for 10 minutes over a 10 – day period to speed up the wound healing process.

In conclusion, the full – thickness buccal advancement flap procedure resulted in favorable functional and cosmetic outcomes. The dog resumed normal food and water intake, exhibiting only mild facial asymmetry during the 6 – month follow – up, with no other observed difficulties.

DOI: https://doi.org/10.2478/acve-2025-0021 | Journal eISSN: 1820-7448 | Journal ISSN: 0567-8315
Language: English
Page range: 271 - 279
Submitted on: Nov 4, 2024
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Accepted on: Apr 28, 2025
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Published on: Jun 16, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
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© 2025 Miloš Đurić, Natalija Milčić Matić, Milan Matić, Darko Davitkov, Vanja Krstić, published by University of Belgrade, Faculty of Veterinary Medicine
This work is licensed under the Creative Commons Attribution 4.0 License.