Lingual Arch Bar Application for Treatment of Rostral Mandibular Body Fractures in Cats

Çetinkaya, Mehmet Alper; Yardımcı, Cenk; Kaya, Ümit

doi:10.1111/j.1532-950x.2011.00809.x

Cited by 10 publications

(17 citation statements)

References 12 publications

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“…Bending forces are the primary dynamics acting on the bone during the functional stress of mastication. 15,19,20 Fractures of the mandibular body can be inherently stable or unstable, depending on the orientation of the fracture line and the forces applied by the local musculature ( Figure 8). 6,11 Dental occlusion may be the only point of reference by which to judge adequate reduction of a comminuted fracture.…”

Section: Mandibular Fracturesmentioning

confidence: 99%

“…Fracture reduction is assessed indirectly based on normal dental occlusion; pharyngostomy intubation is needed in order to facilitate this assessment. 2,4,6,10,11,15,19,20 ✜ Rostral mandibular fractures The lack of bone in the rostral mandibular area and the small size of the incisive teeth, limiting the structures where implants can be applied, mean that rostral mandibular fractures are challenging to stabilise. There are reports in the literature of successful use of modified interdental wiring, a lingual arc or a bilateral external skeletal fixator (ESF) for these fractures.…”

Section: Symphyseal Separationmentioning

confidence: 99%

“…The position of the mandible and maxilla can be adjusted until oral occlusion and dental position are adequate (ie, the lower canines are located medially to the upper canines; Figure 14a). 11,15,22 While ensuring that adequate dental alignment and oral opening is maintained, epoxy putty is applied over the bent ends of the Kwires. It is recommended to leave the horizontal part of the wires free of epoxy putty so they can be cut in the event of an emergency or during ESF removal.…”

Section: Symphyseal Separationmentioning

confidence: 99%

“…Both hemimandibles are joined rostrally by a fibrocartilaginous symphysis. 6,7,15,16 The mandibular body contains the roots of the teeth and the mandibular canal, which holds the mandibular alveolar artery and the inferior mandibular nerve. Familiarity with this local anatomy is crucial to avoid damaging these structures during implant placement.…”

Section: Surgical Anatomymentioning

confidence: 99%

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Feline skull injuries: Treatment goals and recommended approaches

Rizkallal

Lafuente

2020

Journal of Feline Medicine and Surgery

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Practical relevance: Skull trauma in cats, which includes fractures of the mandible and maxilla, as well as temporomandibular joint (TMJ) conditions, is frequently encountered in general practice. Clinical approach: Head trauma requires immediate attention and the initial approach should be focused on stabilisation of the patient and evaluation of the major body systems, including respiratory and cardiovascular assessment, and neurological and ophthalmic examination. The head, oral occlusion and the patient’s ability to open and close the mouth should be carefully evaluated. Once the cat is stable enough for anaesthesia, diagnostic imaging is essential to assess for skull injuries. Radiography may be helpful, although some conditions may be difficult to visualise due to soft tissue and bony structure superimposition. CT is a more sensitive technique for detecting skull injuries. Treatment goals and techniques: A variety of stabilisation techniques have been described in the feline patient, and repair goals focus on restoration of the animal’s oral function, while ensuring adequate dental occlusion, minimal invasiveness and morbidity, and pain relief. Surgical repair of mandibular and maxillary fractures may variously involve interdental wiring, interarcade wiring or suture, use of interfragmentary wires, plate and screw fixation, external skeletal fixation and use of dental acrylic. Decision-making with regard to treatment options depends on dental occlusion, type and location of the fracture, fracture stability and pain. Aim: This review, directed at general practitioners working with cats, describes the relevant anatomy of the feline skull, the most common mandibular, maxillary and TMJ conditions, and their recommended management.

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Section: Mandibular Fracturesmentioning

confidence: 99%