Leps Alexis, Korsos Szabolcs, Clarysse Michèle, Vlaminck Lieven
Department of Large Animal Surgery, Anesthesiology and Orthopedics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Front Vet Sci. 2024 Feb 15;11:1367861. doi: 10.3389/fvets.2024.1367861. eCollection 2024.
The objectives of this retrospective study were to describe cheek teeth extraction by the sectioning technique, the decision making to use this technique and its potentially associated complications. Sectioning for dental extraction purpose was used in 29/461 (6.3%) of cases. Oro-sinusal fistula was the main post-operative complication, with 4/29 (13.7%) cases developing a macroscopic communication between the alveolus of the tooth extracted and the adjacent sinus compartment. All teeth where sectioning was attempted were successfully extracted. Sectioning for dental extraction appears to be a safe technique that can be used instead of or in addition too other minimal invasive cheek teeth extraction techniques. Thorough preoperative planning including oroscopic examination and medical imaging modalities are required to help in decision making, as well as excellent sedation and analgesia and horse compliance.
这项回顾性研究的目的是描述采用分割技术拔除颊齿的情况、使用该技术的决策过程及其可能相关的并发症。在461例病例中，有29例（6.3%）采用了用于拔牙目的的分割技术。口腔 - 鼻窦瘘是主要的术后并发症，29例中有4例（13.7%）在拔除牙齿的牙槽与相邻鼻窦腔之间出现肉眼可见的连通。所有尝试进行分割的牙齿均成功拔除。用于拔牙的分割技术似乎是一种安全的技术，可替代其他微创颊齿拔除技术或与之联合使用。需要进行全面的术前规划，包括口腔镜检查和医学成像模态，以辅助决策，同时还需要良好的镇静、镇痛和马匹配合。
