A Combined Ventral Extraoral and Intraoral Approach for Mandibulectomy in 9 Cats: A Case Series.

IF 0.7 4区 农林科学 Q3 VETERINARY SCIENCES Journal of Veterinary Dentistry Pub Date : 2024-05-21 DOI:10.1177/08987564241255292
Alessandro De Simoi, Paola Marchese, Francesca Bartocetti
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Abstract

This retrospective case series describes a combined ventral extraoral and intraoral approach for mandibulectomy in cats and highlights the importance of prompt management of the postoperative iatrogenic malocclusion through dental extraction, crown height reduction with vital pulp therapy or root canal therapy of the contralateral mandibular canine tooth. Nine cats were reviewed for signalment, history and physical examination, diagnostic workup, tumor type, mandibulectomy extension, lymph node removal as well as both intraoperative and postoperative complications. The performed surgical procedure was a combination of an extraoral approach ventrally to the mandible and an intraoral approach to remove the whole or a part of the mandible. Lymphadenectomy was achieved using the same surgical access. None of the cats had intraoperative complications. Postoperative complications were limited to regional swelling and drooling lasting a week. Seven cats were able to eat immediately after the surgery. Of the other 2 cats, 1 regained the ability to eat within a month and 1 only ate from the owner's hands. The surgical approach for mandibulectomy described allowed better access and visualization of the caudal part of the mandible and direct access to regional lymph nodes. Moreover, if the expected postoperative malocclusion is managed during the same surgical procedure, there is a higher rate of postoperative eating ability compared to what is reported in the literature.

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在 9 只猫中采用腹侧口外和口内联合方法进行下颌骨切除术:病例系列。
这组回顾性病例描述了在猫科动物中采用腹腔口外和口内联合方法进行下颌骨切除术的情况,并强调了通过拔牙、降低牙冠高度并进行活髓治疗或对侧下颌犬齿进行根管治疗来及时处理术后先天性错颌畸形的重要性。对九只猫的信号、病史和体格检查、诊断工作、肿瘤类型、下颌骨切除术的扩展、淋巴结切除以及术中和术后并发症进行了回顾。所采用的手术方法是口外下颌骨腹侧入路和口内入路相结合,切除整个或部分下颌骨。淋巴腺切除术也是通过相同的手术入路进行的。没有一只猫出现术中并发症。术后并发症仅限于持续一周的局部肿胀和流口水。七只猫在术后可以立即进食。另外 2 只猫中,1 只在一个月内恢复了进食能力,1 只只能吃主人手中的食物。所描述的下颌骨切除手术方法可以更好地进入和观察下颌骨尾部,并直接进入区域淋巴结。此外,如果在同一手术过程中对预期的术后错牙合畸形进行处理,那么术后能够进食的比例会高于文献报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Veterinary Dentistry
Journal of Veterinary Dentistry VETERINARY SCIENCES-
CiteScore
1.00
自引率
10.00%
发文量
59
期刊介绍: The Journal of Veterinary Dentistry (JOVD) is the official peer-reviewed publication of the Foundation for Veterinary Dentistry. The JOVD provides a continuing education forum for veterinary dental scientists, veterinarians, dentists, and veterinary/dental technicians and hygienists who are engaged in veterinary dental practice. JOVD articles provide practical and scientifically sound information covering not only the medical and surgical aspects, but also specific categories as they relate to clinical practice.
期刊最新文献
Diagnosis, Classification, and Treatment of Canine Tooth Resorption: A Literature Review. Local Anesthesia. Mandibular Periostitis Ossificans in a 17-Week-Old Male Great Dane. Detection of Oronasal Fistula Using a Fluorescent Water Passing Test. Editorial 42.2.
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