Guess What I Saw?
by Justin Ganjei,
Veterinarian, VCA Veterinary Referral Associates
This is a previously healthy 2 year old, male castrated
DSH cat that lives with one other cat and one other
large breed canine. The patient was observed to get to
close to the large breed canine while he was eating a
bone and sustained trauma to the head/face. The owners
noticed later that the cat was holding his mouth open
and that there was a small amount of blood coming from
the mouth. On presentation the patient was unable to
close his mouth completely and the tongue was protruding
out of the right side of the mouth. The mandible was
mal-aligned and deviated to the right of the maxilla.
There was a small amount of blood coming from the
patient’s oral cavity. No fractures were palpated.
A lateral and DV view of the patient’s skull were taken.
The radiographs revealed a cranial subluxation of the
left temporomandibular joint. No fractures were
observed. Sedated oral examination revealed a fractured
upper left first premolar and a gingival abrasion. No
fractures were palpable during manipulation of the
mandible and the jaw was unable to be closed completely.
The patient was anesthetized with propofol and placed in
right lateral recumbency. The mouth was opened and a
distraction device was placed between the molars. The
rostral portion of the mandible was manipulated as to
close the mouth until the left TMJ joint was felt to
have popped back in place. The mandible was tested for
proper alignment and was not observed to re-luxate. A
tape muzzle was placed over the patient’s mouth and
secured behind his head and neck to limit the amount
that the mouth could open. The patient was discharged
with oral buprenorphine and a soft diet.
Send Us Your Interesting Case
Maryland Veterinarian invites you to submit an interesting case
for our recurring feature "Guess What I Saw!" Highlight your
special interest or your practice’s special services, or just
tell the readers about a "Gee whiz" case. Electronic submissions
should be 750 to 1500 words in length, and use an eye-catching
illustration in jpeg format. To be considered for inclusion in
the winter newsletter, submit your case materials to
MVMA@KeyAssnMgt.com by December 5, 2011.
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