Subscribe to RSS
DOI: 10.3415/VCOT-15-01-0010
False ankylosis of the temporomandibular joint in a cat
Correction by partial zygomatic arch resectionPublication History
Received:12 January 2015
Accepted:21 June 2015
Publication Date:
23 December 2017 (online)
Summary
Objective: To describe the use of two- dimensional computer-assisted tomography (CT) with three-dimensional (3D) reconstruction in the diagnosis and planning of surgical treatment of a case of false ankylosis of the temporomandibular joint.
Case report: A young European Shorthaired cat was presented with the complaint of inability to eat and open its jaws. A CT scan with 3D reconstruction allowed visualization of the lesion which was causing extra- articular ankylosis of the temporomandibular joint. Surgery was performed to resect an osseous lesion of the zygomatic arch, thus freeing the temporomandibular joint. Postoperative physical therapy was initiated immediately following surgery, and then carried out by the owner with a one year follow-up. Clinical examination of the cat was performed during regular office visits (at 1 month and 3 months following surgery), which allowed objective assessment of postoperative recuperation. At the end of a year, the owners reported that the cat had maintained sufficient jaw opening without any signs consistent with chronic pain.
Conclusion: Computed tomography scan with 3D reconstruction allowed planning of the surgical correction of extra-articular ankylosis of the temporomandibular joint, and in this case condylectomy was avoided, since temporomandibular joint range-of-motion was maintained.
-
References
- 1 Meomartino L, Fatone G, Brunetti A. et al. Temporomandibular ankylosis in the cat: a review of seven cases. J Small Anim Pract 1999; 40: 7-10.
- 2 Ticer JW. Injury of the feline temporomandibular joint: radiographic signs. J Am Vet Radiol Soc 1978; 19: 146-156.
- 3 Okumura M, Kadosawa T, Fujinaga T. Surgical correction of temporomandibular joint ankylosis in two cats. Aust Vet J 1999; 77: 24-27.
- 4 Maas CPHJ, Theyse LFH. Temporomandibular joint ankylosis in cats and dogs. A report of 10 cases. Vet Comp Orthop Traumatol 2007; 20: 192-197.
- 5 van Ee RT, Pechman RD. False ankylosis of the temporomandibular joint in a cat. J Am Vet Med Assoc 1987; 191: 979-980.
- 6 Sullivan M. Temporomandibular ankylosis in the cat. J Small Anim Pract 1989; 30: 401-405.
- 7 Yücel E, Börkan Ü, Mollaoglu N. et al. Histological evaluation of changes in the temporomandibular joint after direct and indirect trauma: an experience study. Dent Traumatol 2002; 8: 212-216.
- 8 Van Hoe L, Cesteleyn L, Claeys TH. et al. Arthrographic imaging of post-traumatic temporomandibular joint. Dent Clin North Am 1994; 38: 167-185.
- 9 Laskin DM. Diagnosis of pathology of the temporomandibular joint. Clinical and imaging perspective. Radiol Clin North Am 1993; 31: 135-147.
- 10 Cetinkaya MA. Temporomandibular joint injuries and ankylosis in the cat. Vet Comp Orthop Traumatol 2012; 25: 366-374.
- 11 Gilmour MA, Morgan RV, Moore FM. Masticatory myopathy in the dog: a retrospective study of 18 cases. J Am Anim Hosp Assoc 1992; 28: 300-306.
- 12 Güven O. A clinical study on temporomandibular joint ankylosis. Auris Nasus Larynx 2000; 27: 27-33.
- 13 Larheim TA. Current trends in temporomandibular joint imaging of the temporomandibular joint imaging. Oral Surg Oral Med Pathol Oral Radiol Endod 1995; 80: 555-576.
- 14 Hayt MW, Abrahams JJ, Blair J. Magnetic resonance imaging of the temporomandibular joint ankylosis. Top Magn Reson Imaging 2000; 11: 138-146.
- 15 Schwarz T, Weller R, Dickie AM. et al. Imaging of the canine and feline temporomandibular joint: a review. Vet Radiol Ultrasound 2002; 43: 85-97.
- 16 Beam RC, Kunz DA, Cook CR. et al. Use of three-dimensional computed tomography for diagnosis and treatment planning for open-mouth jaw locking in a cat. J Am Vet Med Assoc 2007; 30: 59-63.
- 17 Roychoudhury A, Parkash H, Trikha DA. Functional restoration by gap arthroplasty in temporomandibular joint ankylosis. A report of 50 cases. Oral Surg Oral Med Pathol Oral Radiol Endod 1999; 87: 166-169.
- 18 Manganello-Souza LC, Mariani PB. Temporomandibular joint ankylosis: report of 14 cases. Int J Oral Maxillofac Surg 2004; 35: 157-160.
- 19 Dimitroulis G. The interpositional dermis-fat graft in the management of temporomandibular joint ankylosis. Int J Oral Maxillofac Surg 2004; 33: 755-760.
- 20 Martins WD. Report of ankylosis of the temporomandibular joint: treatment with a temporalis muscle flap and augmentation genioplasty. J Contemp Dent Pract 2006; 7: 125-133.
- 21 Chossegros C, Guyot L, Cheynet F. et al. Comparison of different materials for interposition arthroplasty in treatment of temporomandibular joint ankylosis surgery: long term follow up in 25 cases. Br J Oral Maxillofac Surg 1997; 35: 157-160.
- 22 Gaba S, Sharma RK, Rattan V. et al. The long-term fate of pedicled buccal pad fat used for interpositional arthroplasty in TMJ ankylosis. J Plast Reconstr Anesthet Surg 2012; 65: 1468-1473.
- 23 Singh V, Dhingra R, Bhagol A. Prospective analysis of temporomandibular joint reconstruction in ankylosis with sternoclavicular graft and buccal fat pad lining. J Oral Maxillofac Surg 2012; 70: 997-1006.
- 24 Lantz GC. Temporomandibular joint ankylosis: surgical correction of three cases. J Am Anim Hosp Assoc 1985; 21: 979-980.