{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:19:04Z","timestamp":1759335544882},"reference-count":15,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>CASE DESCRIPTION<\/jats:title>\n<jats:p>A 10-year-old castrated male Siberian Husky that had undergone complete excision of an oral plasmacytoma was evaluated because of development of a large oronasal fistula following failure of primary defect repair.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>CLINICAL FINDINGS<\/jats:title>\n<jats:p>Clinical examination findings for the dog were unremarkable. The dog was receiving nutrition via an esophagostomy tube, which had been placed at the time of mass excision. The dog was notably head shy. Intraoral examination following sedation revealed a large (approx 25 \u00d7 20-mm) oronasal fistula, which was oriented craniocaudally in the long axis and located at the rostral aspect of the soft palate. Maturation of tissues had been allowed following failure of the primary repair, and an epithelialized border was identified circumferentially.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>10 weeks after mass excision, revision surgery involving 2-layer closure augmented with a polydioxanone plate was performed. At a recheck examination 21 days after revision surgery, near-complete healing of the closure site with no repair compromise was evident, and the dog had returned to oral food intake. A follow-up evaluation 40 weeks later revealed complete healing, with a single 1-mm defect at the medial aspect of the left maxillary dental arcade, as a result of suspected repeated trauma at the level of teeth 209 and 210. This defect was not associated with any clinical abnormalities.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>The outcome for this dog indicated that use of a polydioxanone plate offers a means of robust, long-lasting, and absorbable augmentation of a traditional 2-layer repair of an oronasal fistula in this species.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.254.9.1094","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T16:21:08Z","timestamp":1555345268000},"page":"1094-1098","source":"Crossref","is-referenced-by-count":1,"title":["Incorporation of a polydioxanone absorbable plate in the successful repair of an iatrogenic oronasal fistula in a dog"],"prefix":"10.2460","volume":"254","author":[{"given":"Stephen A.","family":"Martin","sequence":"first","affiliation":[{"name":"1UCD Veterinary Hospital, University College Dublin, Belfield, Dublin 4, Ireland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara M.","family":"Kirby","sequence":"additional","affiliation":[{"name":"1UCD Veterinary Hospital, University College Dublin, Belfield, Dublin 4, Ireland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Arch Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1001\/archotol.126.11.1373","article-title":"Clinical and histological results of septoplasty with a resorbable implant","volume":"126","author":"Boenisch","year":"2000"},{"key":"ref2","series-title":"Arch Facial Plast Surg","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1001\/archfaci.5.4.316","article-title":"Influence of polydioxanone foil on growing septal cartilage after surgery in an animal model: new aspects of cartilage healing and regeneration (preliminary results)","volume":"5","author":"Boenisch","year":"2003"},{"key":"ref3","series-title":"J Vet Dent","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1177\/089875641202900306","article-title":"Oronasal fistula repair using auricular cartilage","volume":"29","author":"Lorrain","year":"2012"},{"key":"ref4","series-title":"Small animal dentistry","first-page":"312","article-title":"Oral surgery","author":"Harvey","year":"1993"},{"key":"ref5","series-title":"Probl Vet Med","first-page":"85","article-title":"Problems associated with basic oral surgical techniques","volume":"2","author":"Kapatkin","year":"1990"},{"key":"ref6","series-title":"Veterinary dental techniques for the small animal practitioner","first-page":"329","article-title":"Exodontics","author":"Holmstrom","year":"2004"},{"key":"ref7","series-title":"Veterinary dentistry for the general practitioner","first-page":"131","article-title":"Emergencies","author":"Gorrel","year":"2004"},{"key":"ref8","series-title":"Veterinary dentistry: principles and practice","first-page":"232","article-title":"Oral surgery","author":"Wiggs","year":"1997"},{"key":"ref9","series-title":"Small animal surgery","first-page":"200","article-title":"Surgery of the digestive system","author":"Fossum","year":"1997"},{"key":"ref10","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"75","DOI":"10.5326\/0440075","article-title":"Survival data for canine oral extramedullary plasmacytomas: a retrospective analysis (1996\u20132006)","volume":"44","author":"Wright","year":"2008"},{"key":"ref11","series-title":"J Am Anim Hosp Assoc","first-page":"105","article-title":"Extramedullary plasmacytomas in dogs: results of surgical excision in 131 cases","volume":"28","author":"Clark","year":"1992"},{"key":"ref12","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1097\/SCS.0b013e3181e62c5f","article-title":"Comparison of collagen membranes and polydioxanone for reconstruction of the orbital floor after fractures","volume":"21","author":"Becker","year":"2010"},{"key":"ref13","series-title":"Facial Plast Surg","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1055\/s-2006-954843","article-title":"Reconstructive septal surgery","volume":"22","author":"Boenisch","year":"2006"},{"key":"ref14","series-title":"Clin Otolaryngol","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1111\/j.1749-4486.2007.01553.x","article-title":"Extracorporal septal reconstruction with polydioxanone foil","volume":"32","author":"Gerlinger","year":"2007"},{"key":"ref15","series-title":"Arch Facial Plast Surg","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1001\/archfaci.2010.1","article-title":"Reconstruction of the nasal septum using perforated and unperforated polydioxanone foil","volume":"12","author":"Tweedie","year":"2010"}],"container-title":["Journal of the American Veterinary Medical 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