Page 57 - Atlas of Small Animal CT and MRI
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Temporomandibular Joint  47


              Figure 1.3.10  Inflammatory Mandibular Mass with Temporomandibular Subluxation (Feline)     CT
                                                                             12y FS Domestic Shorthair with iatrogenic
                                                                             open wound in the oropharyngeal region
                                                                             following a traumatic pill administration.
                                                                             Clinical signs included malocclusion, oral
                                                                             pain, and inability to close the mouth. The
                                                                             cat had a previous enucleation that is unre-
                                                                             lated to the current presenting complaint.
                                                                             The transverse images are comparable unen-
                                                                             hanced and contrast‐enhanced images. The
                                                                             two images reformatted in the  sagittal plane
                                                                             are oriented in the same direction for easier
                                                                             comparison. In both images, rostral is to the
                                                                             left and caudal is to the right. A heteroge-
                                                                             nously contrast‐enhancing mass is evident
            (a) CT, TP                       (b) CT+C, TP                    surrounding the body of the mandible on
                                                                             the  left  (b:  arrowhead).  The  left  temporo-
                                                                             mandibular joint is subluxated as a result of
                                                                             extraarticular encroachment by the mass (c:
                                                                             arrow). The right temporomandibular joint is
                                                                             normal by comparison (d). Biopsy of the oro-
                                                                             pharyngeal region confirmed the presence of
                                                                             suppurative abscess and cellulitis.










            (c) CT, SP                       (d) CT, SP




































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