Meomartino L, Fatone G, Brunetti A, Lamagna F, Potena A
Dipartimento di Scienze Cliniche Veterinarie, Centro Interdipartimentale di Radiologia Veterinaria, Facoltà di Medicina Veterinaria di Napoli, Naples, Italy.
J Small Anim Pract. 1999 Jan;40(1):7-10. doi: 10.1111/j.1748-5827.1999.tb03245.x.
Ankylosis of the temporomandibular joint (TMJ) in the cat is an unusual complication of traumatic lesions involving articular (true ankylosis) or periarticular structures (false ankylosis). Seven cats with true ankylosis of the TMJ (four cases unilateral and three cases bilateral), of which previous trauma had been documented in five cases, were referred to the authors' clinic between September 1991 and October 1996. Radiographic assessment was performed in all cases, using dorsoventral and oblique projections. Five subjects underwent arthroplastic excision of the TMJ and, in the remaining two cases, stretching of the jaws was performed under general anaesthesia. The surgical outcome was satisfactory in all but one case, where partially decreased joint mobility was observed (follow-up time one to five years), but in the two cases where non-surgical treatment was carried out, recurrence of TMJ ankylosis was observed (follow-up time two to five months). In the authors' experience, surgery represents the treatment of choice for TMJ ankylosis in cats. Additional mandibular symphysiotomy can confirm the radiological findings in unilateral cases.
猫颞下颌关节(TMJ)强直是涉及关节(真性强直)或关节周围结构(假性强直)的创伤性病变的一种罕见并发症。1991年9月至1996年10月期间,7只患有TMJ真性强直的猫(4例单侧,3例双侧)被转诊至作者所在的诊所,其中5例有先前创伤的记录。所有病例均采用背腹位和斜位投照进行影像学评估。5只猫接受了TMJ关节成形切除术,其余2例在全身麻醉下进行了下颌伸展。除1例观察到关节活动度部分降低(随访时间1至5年)外,所有手术结果均令人满意,但在2例接受非手术治疗的病例中,观察到TMJ强直复发(随访时间2至5个月)。根据作者的经验,手术是猫TMJ强直的首选治疗方法。额外的下颌联合切开术可在单侧病例中证实影像学检查结果。