Kim Seung-Hyun, Jeong Manbok, Baek Yeong-Bin, Yoon Jang-Han, Park Jun-Gyu, Park Sang-Ik
Department of Veterinary Surgery, College of Veterinary Medicine, Chonnam National University, Gwangju 61186, Republic of Korea.
KSH Surgical Animal Medical Center, Gwangju 61617, Republic of Korea.
Animals (Basel). 2025 Apr 17;15(8):1161. doi: 10.3390/ani15081161.
This report examines the successful recovery of a feline that presented with multiple complex fractures and dislocations involving the facial and cranial structures resulting from a traffic accident. Diagnostic CT imaging identified significant injuries, including luxation of the left temporomandibular joint (TMJ), a mandibular symphyseal fracture, a hard palate fracture, and a left orbital fracture accompanied by severe exudate within the nasal cavity, compressing the left orbit and nasal passages. Importantly, no additional injuries were detected in the thoracic or abdominal regions, facilitating a more targeted treatment plan. The management of this case required extensive surgical intervention, including open reduction of the TMJ, stabilization of the mandibular symphysis, repair of the bony palate, and partial maxillectomy. After 20 days of ICU hospitalization, the feline fully recovered. This outcome is particularly noteworthy as the combination of severe injuries observed in this case is unprecedented in the veterinary literature. Consequently, it offers critical insights into both surgical techniques and postoperative management strategies applicable to similarly complex trauma cases. The feline's full recovery, characterized by the restoration of normal daily functions, highlights the clinical significance of pursuing multiple, complex surgical procedures in cases of severe trauma. It serves as a valuable reference for advancing the understanding and management of severe facial trauma in veterinary practice.
本报告探讨了一只因交通事故导致面部和颅骨结构出现多处复杂骨折和脱位的猫的成功康复情况。诊断性CT成像显示出严重损伤,包括左颞下颌关节(TMJ)脱位、下颌联合处骨折、硬腭骨折以及伴有鼻腔内严重渗出物的左眼眶骨折,渗出物压迫左眼眶和鼻腔通道。重要的是,在胸部或腹部区域未检测到其他损伤,这有利于制定更有针对性的治疗方案。该病例的处理需要广泛的手术干预,包括TMJ的切开复位、下颌联合的固定、硬腭修复以及部分上颌骨切除术。在重症监护病房住院20天后,这只猫完全康复。这一结果尤为值得注意,因为该病例中观察到的严重损伤组合在兽医文献中是前所未有的。因此,它为适用于类似复杂创伤病例的手术技术和术后管理策略提供了关键见解。这只猫的完全康复,表现为日常功能恢复正常,突出了在严重创伤病例中进行多次复杂外科手术的临床意义。它为增进兽医实践中对严重面部创伤的理解和管理提供了有价值的参考。