Prichard M A, Hackett R P, Erb H N
Department of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca.
Vet Surg. 1992 Mar-Apr;21(2):145-9. doi: 10.1111/j.1532-950x.1992.tb00033.x.
The records of 61 horses undergoing tooth repulsion for treatment of alveolar periostitis were reviewed. Seventeen of 36 horses (47%) in which maxillary teeth were removed had serious postoperative complications, such as infection of a second tooth, bone sequestration, chronic sinusitis, draining tracts, retained dental packing, feed impaction of the alveolus or sinus, suture-line dehiscence, or skin-flap sloughs. Eight horses required at least one additional surgical procedure. Eight of 25 horses (32%) in which mandibular teeth were removed had serious postoperative complications, and four horses required an additional surgical procedure. Hospitalization lasted 2 to 61 days (median, 22 days) for maxillary teeth and 3 to 35 days (median, 8 days) for mandibular teeth. Long-term follow-up (at least 5 months) was possible in 47 horses. Twenty-four of 30 horses (80%) with maxillary tooth repulsion healed without further problems; six horses had persistent nasal discharge. Fourteen of 17 horses (82%) with mandibular tooth repulsion healed with no further problems or with only minor complications; three horses had a chronic draining tract.
回顾了61匹因牙槽骨膜炎接受牙齿拔除治疗的马匹的记录。在上颌牙齿拔除的36匹马中，有17匹（47%）出现了严重的术后并发症，如第二颗牙齿感染、骨坏死、慢性鼻窦炎、引流道、牙科填充物残留、牙槽或鼻窦饲料嵌塞、缝线裂开或皮瓣脱落。8匹马需要至少进行一次额外的外科手术。在下颌牙齿拔除的25匹马中，有8匹（32%）出现了严重的术后并发症，4匹马需要进行额外的外科手术。上颌牙齿拔除的住院时间为2至61天（中位数为22天），下颌牙齿拔除的住院时间为3至35天（中位数为8天）。47匹马进行了长期随访（至少5个月）。上颌牙齿拔除的30匹马中有24匹（80%）愈合良好，无进一步问题；6匹马持续有鼻分泌物。下颌牙齿拔除的17匹马中有14匹（82%）愈合良好，无进一步问题或仅有轻微并发症；3匹马有慢性引流道。
