3187. Z-plasty for a big facial wound

Jun 28, 2018

The Chihuahua X had two ears filled with tumours. Big swellings esp. below the right ear.  They obstruct the ear canal, leading to pus formation and causing pain.

Details are at:
https://2010vets.blogspot.com/2018/06/3182-rare-case-of-bilateral-ear.html




It will take 2 months to close by granulation and there is a possibility of infection of the muscles and nerves inside this large wound. The dog keeps scratching this area to relieve her itch. She has pyometra and another similar ear abscess with tumours on the left facial area. 

The owner opted for Z-plasty. The images are as follows:

15 days after surgery, the ear is still wet and needs daily cleaning and medication.

30 days after surgery. Wound has healed well. The owner did not return for post-op checks and operation of the other ear that was oozing pus and was filled with ear canal tumours or spay.

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Post op photo from a busy owner

Owner did not want to have surgery done on the right ear that was filled with tumours and had discharging pus



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1-cm margin for suspected cancerous skin tumour is important
Large incision needs Z-plasty.  Skin heals well generally. One case is shown


Z-plasty for suspected cancerous skin growth post-op

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Very large wound. Z-plasty is needed

https://2010vets.blogspot.com/2015/09/2989-z-plasty-in-very-large-wound.html\


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large breast tumours in dogs. Z-plasty is needed.
  https://2010vets.blogspot.com/2017/12/3224-gigantic-breast-tumour-with-stalk.html