Bilateral Corrective Mandibular Ostectomy-A Salvage Technique for Traumatic Masticatory Fibrosis in a Dog.

End-stage masticatory muscle fibrosis may occur following trauma, resulting in the inability to open the mouth for eating, drinking, panting and vomiting. Following MRI and EMG confirmation of end-stage muscle fibrosis, a bilateral wedge ostectomy was performed of the mandibles, leaving a permanent mouth opening of 3.5 cm. The osteotomies were stabilized with 6-hole dynamic compression plates and screws. A temporary percutaneous endoscopic gastrotomy tube was placed while the dog underwent rehabilitation and reconditioning. The dog was able to eat, drink, and pant after recovery, which allowed the dog to live a relatively normal and good quality life. Wedge osteotomies of the mandibles with bone plate stabilization may allow dogs with permanent restrictive mouth opening due to fibrosis of the masticatory muscles to live a relatively normal life.