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Lima AED, Piñeros DDV, Alibrando BB, Bittar MJ, de Souza AF, Mendes RP, de Freitas SH, Bernardino T, Corrêa RR. Radiographic characterization of the maxillary septum and septal bullae in horses: An ex vivo study. Vet Radiol Ultrasound 2024. [PMID: 38946246 DOI: 10.1111/vru.13399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 02/19/2024] [Accepted: 06/03/2024] [Indexed: 07/02/2024] Open
Abstract
The anatomical variations of the maxillary septum and the septal bullae can generate challenges during the interpretation of radiographs of the horses' heads and make it difficult to accurately identify the sites affected in sinus disorders. The description of the radiographic appearance of these structures is currently scarce in the scientific literature. This work aims to describe the anatomical and radiographic characteristics of the maxillary septum and maxillary septal bullae in horses. Six chemically preserved equine cadaver heads were used which, after being submitted to the maxillary osseous flap, the maxillary septum and its respective bullae were identified. Radiographic examinations before and after contrast impregnation on these structures were performed. The positioning of the maxillary septum varied between the anatomical specimens and between the sides of the same specimen. The 30° oblique dorsoventral lateral and lateral projections allowed the identification of the maxillary septum and septal bullae. However, the bullae remained superimposed on the dental arches in the dorsoventral projections with the mandible in a neutral position or with the mandible displaced. The oblique offset radiographic positioning was suggested and proved effective for the examination of the maxillary septal bullae, where the mandible was displaced to the side of the bullae to be examined, and the radiographic beam inclined in the same direction. The maxillary septum and its bullae could be properly identified in a macroscopic way after the osseous flap and the contrasted radiographic examination allowed its adequate interpretation. Variations in size and position are considered normal for the equine species.
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Affiliation(s)
- Aymara Eduarda de Lima
- Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo, São Paulo, Brazil
| | | | | | | | - Anderson Fernando de Souza
- Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo, São Paulo, Brazil
| | - Rubens Peres Mendes
- Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo, São Paulo, Brazil
| | - Silvio Henrique de Freitas
- Departamento de Medicina Veterinária, Faculdade de Zootecnia e Engenharia de Alimentos, Universidade de São Paulo, Pirassununga-SP, Brazil
| | - Thiago Bernardino
- Programa de pós-graduação em Saúde Única, Universidade Santo Amaro, São Paulo, Brazil
- Centro Universitário Padre Anchieta, Jundiaí, Brazil
| | - Rodrigo Romero Corrêa
- Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo, São Paulo, Brazil
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Górski K, Borowska M, Turek B, Pawlikowski M, Jankowski K, Bereznowski A, Polkowska I, Domino M. An application of the density standard and scaled-pixel-counting protocol to assess the radiodensity of equine incisor teeth affected by resorption and hypercementosis: preliminary advancement in dental radiography. BMC Vet Res 2023; 19:116. [PMID: 37559089 PMCID: PMC10413604 DOI: 10.1186/s12917-023-03675-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 07/24/2023] [Indexed: 08/11/2023] Open
Abstract
BACKGROUND Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) syndrome is a dental disease where the radiographic signs may be quantified using radiographic texture features. This study aimed to implement the scaled-pixel-counting protocol to quantify and compare the image structure of teeth and the density standard in order to improve the identification of the radiographic signs of tooth resorption and hypercementosis using the EOTRH syndrome model. METHODS AND RESULTS A detailed examination of the oral cavity was performed in 80 horses and maxillary incisor teeth were evaluated radiographically, including an assessment of the density standard. On each of the radiographs, pixel brightness (PB) was extracted for each of the ten steps of the density standard (S1-S10). Then, each evaluated incisor tooth was assigned to one of 0-3 EOTRH grade-related groups and annotated using region of interest (ROI). For each ROI, the number of pixels (NP) from each range was calculated. The linear relation between an original X-ray beam attenuation and PB was confirmed for the density standard. The NP values increased with the number of steps of the density standard as well as with EOTRH degrees. Similar accuracy of the EOTRH grade differentiation was noted for data pairs EOTRH 0-3 and EOTRH 0-1, allowing for the differentiation of both late and early radiographic signs of EOTRH. CONCLUSION The scaled-pixel-counting protocol based on the use of density standard has been successfully implemented for the differentiation of radiographic signs of EOTRH degrees.
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Affiliation(s)
- Kamil Górski
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences (WULS - SGGW), Nowoursynowska 100, 02-797, Warsaw, Poland
| | - Marta Borowska
- Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Białystok University of Technology, Wiejska 45C, 15-351, Bialystok, Poland
| | - Bernard Turek
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences (WULS - SGGW), Nowoursynowska 100, 02-797, Warsaw, Poland
| | - Marek Pawlikowski
- Institute of Mechanics and Printing, Warsaw University of Technology, Narbutta 85, 02-524, Warsaw, Poland
| | - Krzysztof Jankowski
- Institute of Mechanics and Printing, Warsaw University of Technology, Narbutta 85, 02-524, Warsaw, Poland
| | - Andrzej Bereznowski
- Division of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences, Nowoursynowska 159C, 02-776, Warsaw, Poland
| | - Izabela Polkowska
- Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Głęboka 30, 20-950, Lublin, Poland
| | - Małgorzata Domino
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences (WULS - SGGW), Nowoursynowska 100, 02-797, Warsaw, Poland.
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Godoy VM, Oliveira NFDOE, Paretsis NF, Silva SCD, Souza AFD, De Zoppa ALDV, Corrêa RR. Treatment of a Mandibular Diastemal Fracture Using Locking Compression Plate and Cerclage Wire in a Mare. J Vet Dent 2023; 40:75-80. [PMID: 36259149 DOI: 10.1177/08987564221129986] [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: 02/04/2023]
Abstract
This report describes the combination of two surgical fracture repair techniques and the postoperative management of a mandibular diastemal fracture in a two-year-old mare. The mare was referred to a veterinary hospital with a laceration over the body of the right mandible. Radiographic assessment revealed two mesial fracture lines involving the second premolar tooth and a ventrally displaced bone fragment. The mare was treated under general anesthesia and the fracture was corrected using open reduction and plate fixation. A 3.5 mm narrow 15-hole locking compression plate with seven locking screws were used in a bridge form. Cerclage wire was also used to anchor the incisor teeth to the second and third premolar teeth. The cerclage wire and incisor teeth were covered with polymethylmethacrylate to prevent implant failure and avoid injury to the oral mucosa. Implants were removed 55 days after surgery and the mare was discharged from hospital five days later. The mare returned for cerclage wire removal after 90 days and was allowed to resume exercise thereafter. The combination of two surgical techniques, proper implant choice and appropriate postoperative management, including use of pelleted feed, contributed to successful bone healing and return to function.
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Affiliation(s)
- Vinicius Maia Godoy
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
| | | | - Nicole Fidalgo Paretsis
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
| | - Sofia Cicolo da Silva
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
| | - Anderson Fernando de Souza
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
| | - André Luis do Valle De Zoppa
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
| | - Rodrigo Romero Corrêa
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, SP, Brazil
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Górski K, Borowska M, Stefanik E, Polkowska I, Turek B, Bereznowski A, Domino M. Application of Two-Dimensional Entropy Measures to Detect the Radiographic Signs of Tooth Resorption and Hypercementosis in an Equine Model. Biomedicines 2022; 10:2914. [PMID: 36428482 PMCID: PMC9687516 DOI: 10.3390/biomedicines10112914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 10/28/2022] [Accepted: 11/11/2022] [Indexed: 11/16/2022] Open
Abstract
Dental disorders are a serious health problem in equine medicine, their early recognition benefits the long-term general health of the horse. Most of the initial signs of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) syndrome concern the alveolar aspect of the teeth, thus, the need for early recognition radiographic imaging. This study is aimed to evaluate the applicability of entropy measures to quantify the radiological signs of tooth resorption and hypercementosis as well as to enhance radiographic image quality in order to facilitate the identification of the signs of EOTRH syndrome. A detailed examination of the oral cavity was performed in eighty horses. Each evaluated incisor tooth was assigned to one of four grade-related EOTRH groups (0-3). Radiographs of the incisor teeth were taken and digitally processed. For each radiograph, two-dimensional sample (SampEn2D), fuzzy (FuzzEn2D), permutation (PermEn2D), dispersion (DispEn2D), and distribution (DistEn2D) entropies were measured after image filtering was performed using Normalize, Median, and LaplacianSharpening filters. Moreover, the similarities between entropy measures and selected Gray-Level Co-occurrence Matrix (GLCM) texture features were investigated. Among the 15 returned measures, DistEn2D was EOTRH grade-related. Moreover, DistEn2D extracted after Normalize filtering was the most informative. The EOTRH grade-related similarity between DistEn2D and Difference Entropy (GLCM) confirms the higher irregularity and complexity of incisor teeth radiographs in advanced EOTRH syndrome, demonstrating the greatest sensitivity (0.50) and specificity (0.95) of EOTRH 3 group detection. An application of DistEn2D to Normalize filtered incisor teeth radiographs enables the identification of the radiological signs of advanced EOTRH with higher accuracy than the previously used entropy-related GLCM texture features.
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Affiliation(s)
- Kamil Górski
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland; (E.S.); (B.T.)
| | - Marta Borowska
- Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Białystok University of Technology, 15-351 Bialystok, Poland;
| | - Elżbieta Stefanik
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland; (E.S.); (B.T.)
| | - Izabela Polkowska
- Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences, 20-950 Lublin, Poland;
| | - Bernard Turek
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland; (E.S.); (B.T.)
| | - Andrzej Bereznowski
- Division of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences, Nowoursynowska 159c, 02-776 Warsaw, Poland;
| | - Małgorzata Domino
- Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences, 02-787 Warsaw, Poland; (E.S.); (B.T.)
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Brounts SH, Henry T, Lund JR, Whitton RC, Ergun DL, Muir P. Use of a novel helical fan beam imaging system for computed tomography of the head and neck in sedated standing horses: 120 cases (2019–2020). J Am Vet Med Assoc 2022; 260:1361-1368. [DOI: 10.2460/javma.21.10.0471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
OBJECTIVE
To evaluate the diagnostic capabilities of a novel helical fan beam CT system used for imaging of horses with clinical problems of the head and neck.
ANIMALS
120 horses.
PROCEDURES
Medical records were reviewed of horses presented for CT of the head or neck at 2 university hospitals. The following data were recorded: age, sex, breed, presenting complaint, sedation used for imaging, scanning time, procedure time, other diagnostic imaging methods performed, imaging diagnosis, clinical diagnosis, and complications during imaging.
RESULTS
Quarter Horses and Warmbloods were the most common breeds, and the most common complaint was nasal discharge. The head (101/120 [84%] horses) was scanned most frequently, and the most common diagnoses were primary dental disease and a space-occupying lesion of the paranasal sinuses. Nuchal bursitis was the most common imaging diagnosis in the neck region. Procedure time ranged from 20 to 45 minutes with a scanning time of 30 to 40 seconds. No complications with horse sedation occurred, and horses tolerated scanning well. An imaging diagnosis was more frequently achieved with CT (109/120 [91%] horses) than with planar digital radiography (23/61 [38%] horses).
CLINICAL RELEVANCE
The helical fan beam CT system had fast scanning times and could be used safely for routine imaging of the teeth and sinuses in horses. The caudal extent of scanning in the neck region was limited by the shape of the horse’s neck and thorax.
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Affiliation(s)
- Sabrina H. Brounts
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI
| | | | - Jane R. Lund
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI
| | - R. Chris Whitton
- Department of Veterinary Clinical Sciences, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Werribee, Australia
| | - David L. Ergun
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI
- Asto CT Inc, Middleton, WI
| | - Peter Muir
- Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI
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Selection of Filtering and Image Texture Analysis in the Radiographic Images Processing of Horses' Incisor Teeth Affected by the EOTRH Syndrome. SENSORS 2022; 22:s22082920. [PMID: 35458905 PMCID: PMC9030967 DOI: 10.3390/s22082920] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/05/2022] [Accepted: 04/08/2022] [Indexed: 12/19/2022]
Abstract
Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is one of the horses’ dental diseases, mainly affecting the incisor teeth. An increase in the incidence of aged horses and a painful progressive course of the disease create the need for improved early diagnosis. Besides clinical findings, EOTRH recognition is based on the typical radiographic findings, including levels of dental resorption and hypercementosis. This study aimed to introduce digital processing methods to equine dental radiographic images and identify texture features changing with disease progression. The radiographs of maxillary incisor teeth from 80 horses were obtained. Each incisor was annotated by separate masks and clinically classified as 0, 1, 2, or 3 EOTRH degrees. Images were filtered by Mean, Median, Normalize, Bilateral, Binomial, CurvatureFlow, LaplacianSharpening, DiscreteGaussian, and SmoothingRecursiveGaussian filters independently, and 93 features of image texture were extracted using First Order Statistics (FOS), Gray Level Co-occurrence Matrix (GLCM), Neighbouring Gray Tone Difference Matrix (NGTDM), Gray Level Dependence Matrix (GLDM), Gray Level Run Length Matrix (GLRLM), and Gray Level Size Zone Matrix (GLSZM) approaches. The most informative processing was selected. GLCM and GLRLM return the most favorable features for the quantitative evaluation of radiographic signs of the EOTRH syndrome, which may be supported by filtering by filters improving the edge delimitation.
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Vitale V, Gascón E, Corradini I, Armengou L, Jose‐Cunilleras E. Basisphenoid bone fracture in two juvenile horses with different clinical presentation. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Valentina Vitale
- Departament de Medicina i Cirurgia Animals Universitat Autonoma de Barcelona Hospital Clinic Veterinari Barcelona Spain
| | - Eduard Gascón
- Departament de Medicina i Cirurgia Animals Universitat Autonoma de Barcelona Hospital Clinic Veterinari Barcelona Spain
| | - Ignacio Corradini
- Departament de Medicina i Cirurgia Animals Universitat Autonoma de Barcelona Hospital Clinic Veterinari Barcelona Spain
| | - Lara Armengou
- Departament de Medicina i Cirurgia Animals Universitat Autonoma de Barcelona Hospital Clinic Veterinari Barcelona Spain
| | - Eduard Jose‐Cunilleras
- Departament de Medicina i Cirurgia Animals Universitat Autonoma de Barcelona Hospital Clinic Veterinari Barcelona Spain
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Górski K, Tremaine H, Obrochta B, Buczkowska R, Turek B, Bereznowski A, Rakowska A, Polkowska I. EOTRH Syndrome in Polish Half-Bred Horses - Two Clinical Cases. J Equine Vet Sci 2021; 101:103428. [PMID: 33993931 DOI: 10.1016/j.jevs.2021.103428] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 01/12/2021] [Accepted: 02/22/2021] [Indexed: 11/26/2022]
Abstract
The aim of this paper is to thoroughly describe the etiology, diagnostic processes and recommended treatment of equine odontoclastic tooth resorption and hypercementosis (EOTRH). It is a relatively recently described disease. Most recent reports show that it is a common problem involving older equine patients. The most common and significant symptom of EOTRH is oral pain. The main clinical signs include periodontitis and gingivitis with a gingival recession, alveolar bone protrusion, periodontic fistulas and soreness of the incisors. When establishing the final diagnosis, it is necessary to compare the results of the clinical and radiological examination, because in the early stage, the disease may not show any symptoms. Authors used two clinical cases of Polish Half-Bred horses to present some aspects of diagnostic and surgical techniques. The knowledge presented in the paper may be valuable for equine practitioners working in the field to achieve more beneficial outcomes and provide a higher level of welfare for their equine patients. Nevertheless, further research and observations are necessary, since the etiology of the disease remains unclear.
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Affiliation(s)
- Kamil Górski
- Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland.
| | | | - Bartłomiej Obrochta
- Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland
| | - Roma Buczkowska
- Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland
| | - Bernard Turek
- Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland
| | - Andrzej Bereznowski
- Department of Veterinary Epidemiology and Economics, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, Poland
| | - Alicja Rakowska
- Department of Veterinary Epidemiology and Economics, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, Poland
| | - Izabela Polkowska
- Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Poland
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Maxillary Incisors of the Horse before and at the Beginning of the Teeth Shedding: Radiographic and CT Study. Animals (Basel) 2020; 10:ani10091618. [PMID: 32927717 PMCID: PMC7552196 DOI: 10.3390/ani10091618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 08/28/2020] [Accepted: 08/31/2020] [Indexed: 11/16/2022] Open
Abstract
To gain insight into the radiographic appearance of maxillary deciduous incisors and dental germs of maxillary permanent incisors in the period prior to teeth shedding, radiographs and computed tomography (CT) of 25 horse skulls, with an estimated age of between 12 and 42 months, were studied. Data regarding morphology and development were obtained. Dental germs of first maxillary permanent incisors were identified radiographically as rounded radiolucent areas at the level of the apical parts of the first deciduous incisors, in skulls with an estimated age of twelve months. The first sign of crown mineralization of these dental germs appeared in skulls supposedly a few months older. Before teeth shedding, the unerupted, mineralized crowns of the first permanent incisor could be identified radiographically relatively caudal to the corresponding first deciduous incisors. The results of the present study indicate that radiographic intraoral images are suitable to identify the grade of development of the dental germs of maxillary permanent incisors. A detailed description of the radiographic appearance of deciduous incisors and dental germs of permanent incisors will help clinicians to expand their knowledge for diagnostic or treatment purposes.
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Nottrott K, Guio CD, Schramme M. Successful Treatment of a Persistent Oroantral Fistula via Transbuccal and Transnasal Endoscopic Debridement in a Horse. J Vet Dent 2019; 35:28-34. [PMID: 29486682 DOI: 10.1177/0898756418754316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We report an unusual case of a young Quarter Horse with a large dental fracture fragment displaced into the maxillary sinus, leaving an oroantral communication that caused food impaction and metaplastic calcification in the sinus and facial deformation with cutaneous fistulation. Oral extraction of a remaining tooth fragment from its alveolus was succeeded by a maxillary sinusotomy for removal of the abnormal sinus contents. Since the oroantral fistula did not heal spontaneously following the placement of a silicone dental prosthesis, minimally invasive transbuccal and transnasal endoscopic approaches were used to encourage closure of the oroantral fistula by alveolar granulation. The clinical, diagnostic, and therapeutic features of this case may be helpful to clinicians when dealing with similar cases.
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Affiliation(s)
- Knut Nottrott
- 1 Equine Department, VetAgro-Sup, University of Lyon, Marcy l'Etoile, France
| | - Cécile De Guio
- 1 Equine Department, VetAgro-Sup, University of Lyon, Marcy l'Etoile, France
| | - Michael Schramme
- 1 Equine Department, VetAgro-Sup, University of Lyon, Marcy l'Etoile, France
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11
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Łopuszyński W, Bulak K, Komsta R, Twardowski P, Kusy R. Thyroid Metastases From Sinonasal Squamous Cell Carcinoma of a Horse—A Case Report and Literature Review. J Equine Vet Sci 2018. [DOI: 10.1016/j.jevs.2018.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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12
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Tucker R, Windley ZE, Abernethy AD, Witte TH, Fiske-Jackson AR, Turner S, Smith LJ, Perkins JD. Radiographic, computed tomographic and surgical anatomy of the equine sphenopalatine sinus in normal and diseased horses. Equine Vet J 2015; 48:578-84. [PMID: 26235828 DOI: 10.1111/evj.12492] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/22/2015] [Indexed: 11/28/2022]
Abstract
REASONS FOR PERFORMING STUDY Knowledge of imaging anatomy, surgical anatomy and disorders affecting the sphenopalatine sinus are currently lacking. OBJECTIVES To describe the computed tomographic (CT) and surgical anatomy of the sphenopalatine sinus and diagnosis, treatment and outcome in clinical cases with sphenopalatine sinus disease. STUDY DESIGN Cadaver observational study and retrospective case series. METHODS The sphenopalatine sinuses of 10 normal cadaver heads were examined with digital radiography, CT and sinoscopic examination prior to anatomical sectioning. Sphenopalatine sinus anatomy was described and compared between cadaver specimens across the imaging modalities. Medical records (January 2004-2014) of cases diagnosed with sphenopalatine sinus disease were reviewed. RESULTS The anatomy of the sphenopalatine sinus was variable. The borders of the sphenopalatine sinus were not identifiable on plain radiographs, whereas CT provided useful anatomical information. The palatine portion of the sphenopalatine sinus was consistently accessible sinoscopically and the sphenoidal portion was accessible in 6/10 cadaver heads. Fourteen cases of sphenopalatine sinus disease were identified, presenting with one or more clinical signs of exophthalmos, blindness, unilateral epistaxis or unilateral nasal discharge. Diagnoses included neoplasia (7), progressive ethmoidal haematoma (4), sinus cyst (2) and empyema (1). Computed tomography provided diagnostic information but could not differentiate the nature of soft tissue masses. Standing sinoscopic access to the palatine portion of the sphenopalatine sinus was possible for evaluation, biopsy and resection of abnormal soft tissues. Surgical access to the sphenoidal portion was limited. Eight horses were alive at 1 year after diagnosis, with a worse outcome associated with CT evidence of bone loss and a diagnosis of neoplasia. CONCLUSIONS Sphenopalatine sinus disease should be considered a rare cause of the clinical signs described. Knowledge of the anatomical variation of the sphenopalatine sinus is vital for interpreting CT images. A combination of CT and sinoscopy provides the most comprehensive approach for diagnosis and treatment of sphenopalatine sinus disease.
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Affiliation(s)
- R Tucker
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - Z E Windley
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - A D Abernethy
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - T H Witte
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - A R Fiske-Jackson
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - S Turner
- Chine House Veterinary Hospital, Sileby, Leicestershire, UK
| | - L J Smith
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
| | - J D Perkins
- Department of Veterinary Clinical Science and Services, Royal Veterinary College, Hertfordshire, UK
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