The Use of Computed Tomography… The Use of Computed Tomography in the Diagnosis and Treatment Planning of Temporomandibular Joint Ankylosis in Two Cats


Published: Jan 15, 2025
Keywords:
ankylosis cat computed tomography temporomandibular joint
Ü Yavuz
https://orcid.org/0000-0002-4981-2355
K Yener
F Doğan
MS Karadağ
K Dikmen
MS Hurma
A Dusak
A Hayat
Abstract

The use of computed tomography (CT) in the diagnosis and treatment of two cats with a history of inability to open the lower jaw was evaluated. The CT scan of Case 1 revealed extensive callus formation and osseous fusion in the left temporomandibular joint (TMJ) and subluxation in the right TMJ. The CT scan of Case 2 revealed irregular bone proliferations in bilateral intra-articular and periarticular structures. Excision arthroplasty was performed unilaterally in Case 1 and bilaterally in Case 2, and a temporal myofascial flap was applied. At one-year follow-up, both cases maintained painless range of motion of the lower jaw with no signs of re-ankylosis. The CT scanning with three-dimensional (3D) reconstruction is an indispensable imaging method for the diagnosis and preoperative planning of TMJ ankylosis in cats.

Article Details
  • Section
  • Case Report
Downloads
Download data is not yet available.
Author Biography
Ü Yavuz, Harran University, Faculty of Veterinary Medicine, Department of Surgery, Şanlıurfa-Turkey

Department of Surgery, Faculty of Veterinary Medicine, Harran University, TR-63200 Şanlıurfa-Turkey

References
Arzi B, Cissell DD, Verstraete FJ, Kass PH, DuRaine GD, Athanasiou KA
(2013) Computed tomographic findings in dogs and cats with temporomandibular
joint disorders: 58 cases (2006-2011). J Am Vet Med
Assoc 242 (1):69-75.
Arzi B, Lantz GC (2020) Fractures and luxations involving the temporomandibular
joint. In: Oral and maxillofacial surgery in dogs and cats.
nd ed, Elsevier, St Louis, MO: pp368-376.
Bar-Am Y, Pollard RE, Kass PH, Verstraete FJM (2008) The diagnostic
yield of conventional radiographs and computed tomography in dogs
and cats with maxillofacial trauma. Vet Surg 37 (3):294-299.
Beam RC, Kunz DA, Cook CR, Carson RL, Briscoe P, Cook JL (2007)
Use of three-dimensional computed tomography for diagnosis and
treatment planning for open-mouth jaw locking in a cat. J Am Vet
Med Assoc 230 (1):59-63.
Çetinkaya MA (2012) Temporomandibular joint injuries and ankylosis in
the cat. Vet Comp Orthop Traumatol, 25 (5):366-374.
Gatineau M, El-Warrak AO, Marretta SM, Kamiya D, Moreau M (2008)
Locked jaw syndrome in dogs and cats: 37 cases (1998-2005). J Vet
Dent 25 (1):16-22.
Heo SY, Lee HB, Lee KC, Kim NS (2008) Reconstruction of temporomandibular
joint ankylosis with temporalis myofascial flap in a cat: A
case report. Vet Med (Praha) 53 (5):277-281.
Knight R, Meeson RL (2019) Feline head trauma: A CT analysis of skull
fractures and their management in 75 cats. J Feline Med Surg 21 (12):1120-1126.
Larguier L, Jamet N (2015) False ankylosis of the temporomandibular
joint in a cat. Vet Comp Orthop Traumatol 28 (6):455-458.
Maas CPHJ, Theyse LFH (2007) Temporomandibular joint ankylosis in
cats and dogs. A report of 10 cases. Vet Comp Orthop Traumatol, 20
(3):192-197.
Mestrinho LA, Gawor JP, Serrano AM, Niza MM (2015) Superficial temporal
myofascial flap application in temporomandibular joint arthroplasty
in a cat. J Feline Med Surg Open Rep 1 (2):1-5.
Mittal N, Goyal M, Sardana D, Dua JS (2019) Outcomes of surgical management
of TMJ ankylosis: A systematic review and meta-analysis. J
Craniomaxillofac Surg 47 (7):1120-1133.
Nutt AE, Anderson T, Gracis M, Doran I, Warren-Smith C, Langley-Hobbs
SJ (2018) Open-mouth jaw locking in cats: A literature review and
use of CT in three cases. J Feline Med Surg, 20 (12):1180-1191.
Okumura M, Kadosawa T, Fujinaga T (1999) Surgical correction of temporomandibular
joint ankylosis in two cats. Aust Vet J, 77 (1):24-27.
Zavodovskaya R, Vapniarsky N, Garcia T, Verstraete FJM, Hatcher DC,
Arzi, B (2020.) Intra-and extra-articular features of temporomandibular
joint ankylosis in the cat (Felis catus). J Comp Pathol 175:39-48.