Maxillomandibular fracture repair in a young dog
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An 11-month-old female spayed German shepherd dog cross, was presented to the Cornell University Hospital for Animals (CUHA) Emergency Service for further evaluation of fractures sustained after being hit by a car earlier in the day (mandibular fractures, maxillary fractures, fractured right radius and ulna). The patient was taken to an emergency clinic and stabilized but due to the severity of the fractures was transferred to the CUHA. On presentation, the patient was quiet, alert, and responsive. Physical examination was rather remarkable although vital signs were within normal limits. The dog was not ambulating but was able to stand; had fractures present on the right forelimb; and there was a complete open fracture of the mandible such that the rostral third of her mandible was in severe malocclusion and unstable. Also, there were maxillary fractures with approximately 2.5 cm of the rostral portion separated from the remaining maxilla. The nose was deviated to the right and the mouth hung open. There were numerous missing incisors on the mandible and numerous fractured teeth; in particular, the mandibular right canine tooth, which was barely being held in place. This case will be used to illustrate the different techniques and complications of maxillomandibular fracture repairs, including the primary goal of oral repair, postoperative management and prognosis. This case will be used to illustrate the different techniques and complications of maxillomandibular fracture repairs, including the primary goal of oral repair, postoperative management and prognosis.
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Seminar SF610.1 2012