Page 48 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 3 · Surgery of the oral cavity and oropharynx
Chapter 3 · Surger y of the oral cavity and orophar ynx

➜ OPERATIVE TECHNIQUE 3.2 CONTINUED
VetBooks.ir 5 Ligate the inferior alveolar artery and vein and transect them near the mandibular foramen.

6
Transect the inferior alveolar nerve.
7 Elevate the masseter, temporal and medial pterygoid muscles from the caudal body and ramus of the mandible,
to expose the temporomandibular joint (TMJ).
8 Disarticulate the TMJ to complete the total mandibulectomy.

ymphyseal osteotomy must be performed The mandible is displaced laterally and the The masseter temporalis and medial pterygoid
early in the procedure to enhance surgical labial incision is continued the mylohyoid and muscles are removed from the lateral mandible
e posure of the medial mandible and digastricus muscles divided and the mandibular and coronoid process to e pose the
associated structures. large Backhaus to el alveolar artery vein and nerve identified and temporomandibular oint.
clamp or bone-holding forceps ill facilitate divided.
manipulation of the mandible.

isarticulate the
temporomandibular oint and
remove the final attachments
of the temporalis muscle to
the dorsal mandibular
coronoid process to complete
the mandibulectomy.

Commissuroplasty can
PRACTICAL TIP minimi e lateral tongue
displacement as a
A commissuroplasty will prevent lateral tongue complication of this
displacement as a postoperative complication. procedure and is essential for
The treatment for mucosal ulceration related brachycephalic dogs.
to the remaining contralateral mandibular
canine tooth contacting the hard palate is
crown reduction and vital pulp therapy

Closure ral mucosa is closed ith
synthetic absorbable suture
The oral mucosa is apposed using synthetic material and the skin ith
absorbable suture material in a simple interrupted non-absorbable suture
pattern. Incised skin is closed with non-absorbable material.
suture material in a simple interrupted pattern.

POSTOPERATIVE CARE
Feed soft food for 2 weeks.

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