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节段性下颌骨切除术作为治疗犬晚期胆脂瘤的一种新型辅助治疗策略。

Segmental mandibulectomy as a novel adjunct management strategy for the treatment of an advanced cholesteatoma in a dog.

作者信息

Abrams Brittany E, Selmic Laura E, Cocca Christina J, Wavreille Vincent A

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University Veterinary Hospital, 601 Vernon L. Tharp Street, Columbus, Ohio 43210, USA (Abrams, Selmic, Wavreille); Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, 1008 W Hazelwood Drive, Urbana, Illinois 61802, USA (Cocca).

出版信息

Can Vet J. 2019 Sep;60(9):995-1000.

PMID:31523089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6697003/
Abstract

A 6-year-old spayed female Labrador retriever dog was evaluated for trismus and peripheral vestibular syndrome. Computed tomography (CT) revealed a mass arising from the tympanic bulla consistent with a cholesteatoma. A total ear canal ablation, bulla osteotomy, and adjunct segmental mandibulectomy were performed. Re-evaluation 2 weeks after surgery revealed no neurologic abnormalities, normal jaw range of motion, and no discomfort. Despite concern for recurrence of cholesteatoma based on CT imaging performed 33 months after surgery, repeat surgical intervention was not pursued as the owner considered the dog's comfort level to be satisfactory. The patient continued to do well for the 42-month follow-up period.

摘要

一只6岁已绝育的雌性拉布拉多寻回犬因牙关紧闭和外周前庭综合征接受评估。计算机断层扫描(CT)显示鼓泡有一肿物,符合胆脂瘤表现。进行了全耳道切除、鼓泡截骨术及辅助性节段性下颌骨切除术。术后2周复查显示无神经功能异常、下颌活动范围正常且无不适。尽管术后33个月的CT成像显示担心胆脂瘤复发,但由于主人认为犬的舒适度令人满意,故未进行再次手术干预。在42个月的随访期内,该患者情况持续良好。

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引用本文的文献

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Surgical treatment of middle ear cholesteatoma using an oral approach in 2 dogs.2 例犬采用经口入路的方法行中耳胆脂瘤的外科治疗。
Can Vet J. 2022 Apr;63(4):400-406.

本文引用的文献

1
Endoscopic Management of Attic Cholesteatoma: Long-Term Results.上鼓室胆脂瘤的内镜治疗:长期结果
Otolaryngol Clin North Am. 2016 Oct;49(5):1265-70. doi: 10.1016/j.otc.2016.05.015.
2
Cholesteatoma: Is a second stage necessary?胆脂瘤:是否需要二期手术?
Laryngoscope. 2016 Jul;126(7):1499-500. doi: 10.1002/lary.25385. Epub 2016 Apr 15.
3
Diagnosis and Management of Cholesteatomas in Dogs.犬胆脂瘤的诊断与管理
Vet Clin North Am Small Anim Pract. 2016 Jul;46(4):623-34. doi: 10.1016/j.cvsm.2016.01.002. Epub 2016 Mar 10.
4
Canine aural cholesteatoma: a histological and immunohistochemical study.犬耳胆脂瘤:一项组织学和免疫组织化学研究。
Vet J. 2014 Jun;200(3):440-5. doi: 10.1016/j.tvjl.2014.03.018. Epub 2014 Apr 26.
5
Middle ear cholesteatoma in 11 dogs.11只犬的中耳胆脂瘤
Can Vet J. 2011 Jun;52(6):631-6.
6
Elastic training for the prevention of mandibular drift following mandibulectomy in dogs: 18 cases (2005-2008).弹性训练预防犬下颌骨切除术后下颌漂移:18例(2005 - 2008年)
Vet Surg. 2010 Jul;39(5):574-80. doi: 10.1111/j.1532-950X.2010.00703.x. Epub 2010 May 6.
7
Aural cholesteatoma in twenty dogs.二十只犬的耳胆脂瘤
Vet Surg. 2008 Dec;37(8):763-70. doi: 10.1111/j.1532-950X.2008.00455.x.
8
Removal of a cholesteatoma in a dog, using a caudal auricular approach.采用耳后尾侧入路切除犬的胆脂瘤。
J Am Vet Med Assoc. 1997 Dec 15;211(12):1549-53.
9
Nasopharyngeal epidermal cyst in a dog.一只狗的鼻咽部表皮样囊肿。
J Am Vet Med Assoc. 1995 Dec 15;207(12):1590-2.
10
The effect of partial rostral hemimandibulectomy on mandibular mobility and temporomandibular joint morphology in the dog.部分喙侧半下颌骨切除术对犬下颌运动及颞下颌关节形态的影响
Vet Surg. 1988 Jul-Aug;17(4):186-93. doi: 10.1111/j.1532-950x.1988.tb00996.x.