case_images: PMC11746900_01
case_images: (A) Initial anesthetized evaluation of facial swelling in an African wild dog 6 days after attempted medical management. (B) Immediately post-debridement of necrotic and devitalized tissues.
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case_images: fig1
case_images: On physical examination there was diffuse, firm facial swelling and pitting edema that encompassed the entire right oral labia to the dorsal aspect of the muzzle and extended to the dorsocaudal right periocular region (Figure 1A). The area was clipped and prepared aseptically with dilute betadine and surgical debridement of all devitalized tissue was performed (Figure 1B).
case_images: Five days following open wound management with tie-over bandage and routine bandage changes every 2 days with limited exudative discharge and healthy granulation bed.
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case_images: fig2
case_images: The historic facial swelling, hyperthermia, and leukocytosis had resolved, and a healthy granulation tissue bed had formed (Figure 2).
case_images: (A) Initial surgical field with planned donor flap margins digitally enhanced. (B) Elevation of donor tissue for transpositional skin flap. (C) Donor tissue shrinkage following creation of transpositional skin flap. (D) Rotation of donor tissue into the recipient bed with partial closure of the donor defect.
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case_images: fig3
case_images: The recipient bed wound edges were sharply transected, and the flap was rotated approximately 90 degrees onto the granulation bed (Figures 3A-D).
case_images: Immediate post-operative closure of facial wound using a transpositional skin flap.
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case_images: fig4
case_images: The subcutaneous tissue was apposed with 2-0 and 3-0 PDS (polydiaxonone violet monofilament ethalloy; Eticon) in a simple interrupted pattern and the skin was apposed using 3-0 nylon in a simple interrupted and cruciate suture pattern (Figure 4).
case_images: Transpositional skin flap healing at 17 days post-operatively resulting in good cosmesis and healing. All areas appear well apposed with no overt changes in previous cosmesis or functional dehiscence. Focal area of flap necrosis was appreciated rostral to the medial canthus of the right eye (<5 mm).
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case_images: fig5
case_images: Skin sutures were removed, and a 5 mm region of incomplete healing was appreciated, but the remainder of the flap and wound had completely healed (Figure 5).