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De Simoi A, Marchese P, Bartocetti F. A Combined Ventral Extraoral and Intraoral Approach for Mandibulectomy in 9 Cats: A Case Series. J Vet Dent 2024:8987564241255292. [PMID: 38772621 DOI: 10.1177/08987564241255292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/23/2024]
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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Davey JS, Chong WL, Iversen J, Jermyn K. The successful surgical removal of a massive maxillary palatine osteoma. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - Wye Li Chong
- Animal Referral Hospital Canberra Pialligo Canberra Australia
| | - James Iversen
- Animal Referral Hospital Canberra Pialligo Canberra Australia
| | - Kieri Jermyn
- Animal Referral Hospital Canberra Pialligo Canberra Australia
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Thompson J, Malbon A, Hall JL. Curative‐intent minimal ostectomy for canine oral osteoma. VETERINARY RECORD CASE REPORTS 2022. [DOI: 10.1002/vrc2.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Jamie‐Leigh Thompson
- Small Animal Surgery Hospital for Small Animals The Royal Dick School of Veterinary Studies University of Edinburgh Easter Bush UK
| | - Alexandra Malbon
- Easter Bush Pathology Royal (Dick) School of Veterinary Studies and the Roslin Institute University of Edinburgh Roslin UK
| | - Jon L. Hall
- School of Veterinary Medicine and Science University of Nottingham Sutton Bonington UK
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Jaenich S, Klass G, Bosch B, Unger M, Slunsky P. Intra-articular osteoma in the stifle joint of a cat. JFMS Open Rep 2022; 8:20551169221122847. [PMID: 36132421 PMCID: PMC9484044 DOI: 10.1177/20551169221122847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Case summary A 13-year-old male castrated cat was referred to our clinic for a 2-month history of
right hindlimb lameness. Radiographs and CT showed a solid bony mass within the stifle
joint. The mass was resected by arthrotomy and osteotomy of the tibial tuberosity.
Histopathological examination revealed the diagnosis of osteoma. Recovery from surgery
was uneventful. At the 8-week follow-up examination, the cat was free of clinical
signs. Relevance and novel information Feline osteomas are rare; only few cases have been reported. To the best of our
knowledge, this is the first report of an intra-articular osteoma in the stifle joint of
a cat and description of its surgical resection.
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Affiliation(s)
| | - Grace Klass
- Department of Veterinary Medicine, Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Berlin, Germany
| | - Beate Bosch
- AniCura Kleintierspezialisten Ravensburg, Ravensburg, Germany
| | - Martin Unger
- AniCura Kleintierspezialisten Augsburg, Augsburg, Germany
| | - Pavel Slunsky
- AniCura Kleintierspezialisten Augsburg, Augsburg, Germany
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Maggi R, Mudimba D, Marruchella G. Mandibular osteoma in a Haflinger mare: clinical and pathological features. J Equine Vet Sci 2022; 116:104048. [PMID: 35716838 DOI: 10.1016/j.jevs.2022.104048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 06/09/2022] [Accepted: 06/13/2022] [Indexed: 11/24/2022]
Abstract
A 11-year-old, Haflinger breed mare developed a slowly growing mass, protruding on the ventral aspect of the mandible. On palpation, the lesion was pedunculated, very firm, cold and not painful. Radiographic examinations showed a radiopaque, multi-lobular, "mushroom-like" lesion, which arose from the mandibular cortex without involving the bone marrow cavity. Thereafter, the mass was excised for cosmetic purposes. Microscopically, the lesion mainly consisted of bone trabeculae, covered by a thick layer of connective tissue resembling the periosteum. History and clinical findings allowed the temptative diagnosis of mandibular osteoma, which was further supported by diagnostic imaging and pathological features. In particular, the presence of pedunculated lesions arising from the bone surface appeared as highly suggestive of osteoma. Equine osteomas usually affect paranasal sinuses and the rostral mandible and share many similarities with other neoplastic and neoplastic-like conditions, such as ossifying fibroma and fibrous dysplasia. The prognosis is good whenever the neoplasm is fully removed, that depending on the localization and the size of the mass.
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Affiliation(s)
- Raffaella Maggi
- D.V.M., M.Sc., Cert. A.V.P., M.R.C.V.S., Veterinary Practitioner, Via Cassia 929, 00189, Rome, Italy.
| | - Douglas Mudimba
- D.V.M, University of Namibia, School of Veterinary Medicine, Neudamm Campus, Windhoek, Namibia
| | - Giuseppe Marruchella
- D.V.M., M.Sc., University of Teramo, Faculty of Veterinary Medicine, Loc. Piano d'Accio, 64100, Teramo, Italy
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Chitty JW, Miro AC, Kaczmarska A, Guevar J, Gutierrez‐Quintana R. Frontal sinus repair using polymethyl methacrylate after craniectomy for a resection of a fronto‐parietal osteoma in a dog. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Julien Guevar
- Vetsuisse Faculty Department of Clinical Veterinary Science, University of Bern Bern Switzerland
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Zanfabro M, Radice M, Brusati M, Quintavalla F. Monolateral temporomandibular joint ankylosis treated with piezoelectric surgery employing 3D printed pre‐operative surgical planning model in cat. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Dittmer KE, Pemberton S. A Holistic Approach to Bone Tumors in Dogs and Cats: Radiographic and Histologic Correlation. Vet Pathol 2021; 58:841-857. [PMID: 33779406 DOI: 10.1177/0300985821999832] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The skeletal system is a common site for neoplasia in dogs and cats, and primary bone tumors may develop from any of the mesenchymal tissues present in bone. Imaging and histopathology are routinely used in the diagnosis of bone tumors, and the 2 techniques are highly complementary. While imaging may be highly suggestive of a specific diagnosis and treatment may be instituted based on this, definitive diagnosis requires histopathology of either incisional or excisional biopsies or an amputation specimen. However, there are a number of diagnostic dilemmas when the pathologist interprets bone biopsy samples, such as distinguishing reactive bone and tumor bone, fracture callus and tumor bone, different benign fibro-osseous lesions, and different types of bone sarcoma. This review outlines the characteristic radiographic and histologic changes associated with these diagnostic problems to aid in resolving them. When a holistic approach is taken to evaluation of the signalment, history, and clinical, radiologic, and microscopic features, a diagnosis may be possible. The pathologist is greatly assisted in the interpretation of bone samples by having access to imaging and should routinely request either the images or the imaging reports if they are not received from submitting veterinarians.
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Barbosa L, Tom D, Han S. Successful resection of an osteoma in a great horned owl ( Bubo virginianus) with subsequent lack of regional feather regrowth. VETERINARY RECORD CASE REPORTS 2019. [DOI: 10.1136/vetreccr-2019-000887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | - Duane Tom
- California Wildlife CenterCalabasasCaliforniaUSA
| | - Sushan Han
- Department of MicrobiologyDiagnostic Medicine CenterColorado State UniversityFort CollinsColoradoUSA
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Corgozinho KB, Cunha SC, Siqueira RS, Souza HJ. Successful subtotal orbitectomy in a cat with osteoma. JFMS Open Rep 2015; 1:2055116915616402. [PMID: 28491397 PMCID: PMC5362013 DOI: 10.1177/2055116915616402] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2015] [Indexed: 11/28/2022] Open
Abstract
Case summary A 14-year-old Siamese neutered male cat was evaluated for anorexia and a left periorbital mass. Skull radiographic findings showed a well-defined lesion resembling new compact bone formation without destruction. A subtotal orbitectomy was indicated. The tumor was removed intact with a normal tissue margin of at least 1 cm. There were no postsurgical complications. Histopathologic examination revealed an osteoma. The cat returned to normal appetite and activity 15 days after surgery. Six months after surgery, there were no gross signs of recurrence. Relevance and novel information Periorbital tumors are infrequently diagnosed in companion animals and most are malignant. In this case, the diagnosis was orbital osteoma. The most commonly affected bone for osteoma in cats is the mandibular bone; few cases have been identified in orbital bones. Orbital surgery has the potential to be challenging owing to complex anatomy, difficult exposure and the tendency to bleed. Surgical complications are common. In this case, although the disease was advanced, subtotal orbitectomy was successfully performed.
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Affiliation(s)
- Katia B Corgozinho
- Department of Animal Clinical and Surgery, School of Veterinary Medicine, Universidade Federal Rural do Rio de Janeiro, Seropedica, Brazil
| | - Simone Cs Cunha
- Department of Animal Clinical and Reproduction, Universidade Federal Fluminenese, Niterói, Brazil
| | - Ricardo S Siqueira
- Department of Animal Clinical and Surgery, School of Veterinary Medicine, Universidade Federal Rural do Rio de Janeiro, Seropedica, Brazil
| | - Heloisa Jm Souza
- Department of Animal Clinical and Surgery, School of Veterinary Medicine, Universidade Federal Rural do Rio de Janeiro, Seropedica, Brazil
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Soltero-Rivera M, Engiles JB, Reiter AM, Reetz J, Lewis JR, Sánchez MD. Benign and Malignant Proliferative Fibro-osseous and Osseous Lesions of the Oral Cavity of Dogs. Vet Pathol 2015; 52:894-902. [DOI: 10.1177/0300985815583096] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Ossifying fibroma (OF) and fibrous dysplasia (FD) are benign, intraosseous, proliferative fibro-osseous lesions (PFOLs) characterized by replacement of normal bone by a fibrous matrix with various degrees of mineralization and ossification. Osteomas are benign tumors composed of mature, well-differentiated bone. Clinical, imaging, and histologic features of 15 initially diagnosed benign PFOLs and osteomas of the canine oral cavity were evaluated. Final diagnoses after reevaluation were as follows: OF (3 cases), FD (4 cases), low-grade osteosarcoma (LG-OSA) (3 cases), and osteoma (5 cases). Histology alone often did not result in a definitive diagnosis for PFOL. OF appeared as a well-circumscribed, radiopaque mass with some degree of bone lysis on imaging. Most lesions of FD showed soft tissue opacity with bone lysis and ill-defined margins. Low-grade OSA appeared as a lytic lesion with a mixed opacity and ill-defined margins. Osteomas were characterized by a mineralized, expansile, well-circumscribed lesion. Although histologic features of PFOLs were typically bland, the lesions diagnosed as LG-OSA had some features of malignancy (eg, bone invasion or a higher mitotic index). Treatment varied widely. Of the 10 dogs with benign PFOL or osteoma with known outcome (10/12), 9 showed either complete response (6/10) or stable disease (3/10) after treatment. Of the 2 dogs with LG-OSA with known outcome, 1 showed complete response after curative intent surgery, but 1 patient had recurrence after partial maxillectomy. Definitive diagnosis of mandibular/maxillary PFOL is challenging via histopathologic examination alone, and accurate diagnosis is best achieved through assimilation of clinical, imaging, and histopathologic features.
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Affiliation(s)
- M. Soltero-Rivera
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - J. B. Engiles
- Department of Pathology and Toxicology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - A. M. Reiter
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - J. Reetz
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - J. R. Lewis
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - M. D. Sánchez
- Department of Pathology and Toxicology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Abstract
Dental radiography is a necessary diagnostic modality in small animal practice. It is not possible to accurately assess and diagnose tooth resorption, periodontal disease, endodontic disease, neoplasia and injury without it. Dental radiography is also necessary for treatment and assessment of the patient postoperatively.
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Affiliation(s)
- Matthew Lemmons
- Circle City Veterinary Specialty and Emergency Hospital, Carmel, IN, USA.
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