Surgical Reconstruction of the Severe Tongue Laceration with Mandibular Fracture in a Siberian Husky Dog

  • Published : 2008.12.31

Abstract

A 3-year-old castrated male Siberian husky was presented for evaluation after being hit by a car. On physical examination, the dog showed open-mouth, displacement of mandible and hypersalivation with blood ting. The base of tongue was transected almost 80% on the bias from right dorsal side to the left ventral side. Radiography demonstrated separation of mandible symphysis, and fracture of right condyle and vertical ramus. After debridement of the necrotic tissue, tongue apposition with simple interrupted suture was performed. Mandibular symphysis, condyle and mandibular vertical ramus fractures were fixed using pin, cerclage wire, T-plate, and K-wires. The mouth was irrigated daily using chlorhexidine after surgery. The sutures that were loose here or untied at tongue were re-sutured under sedation. The transected tongue was healed and recovered its normal movement after 6 weeks.

Keywords

References

  1. Adams SB, Becht JL. Surgical repair of a severe laceration in a horse's tongue. Vet Med Small Anim Clin 1978; 73: 1394-1395
  2. DeNardo GA, Brown NO, Trenka-Benthin S, Marretta SM. Comparison of seven different suture material in the feline oral cavity. J Am Anim Hosp Assoc 1996; 32: 164-172 https://doi.org/10.5326/15473317-32-2-164
  3. Dunning, D. Tongue, lips, cheeks, pharynx, and salivary gland. In: Textbook of small animal surgery, 3nd edn. Eds D. Slatter., W.B. Saunders, Philiadelphia. 2003: 553-561
  4. Gerbino G, Tarello F, Fasolis M, De Gioanni PP. Rigid fixation with teeth in the line of mandibular fractures. Int J Oral Maxillofac Surg. 1997; 26: 182-186
  5. Griffiths LG, Tiruneh R, Sullivan M, Reid SW. Oropharyngeal penetrating injuried in 50 dogs: a retrospective study. Vet Surg 2000; 29: 383-388 https://doi.org/10.1053/jvet.2000.9140
  6. Kim JS, Choi TH, Kim NG, Lee KS, Han KH, Son DG, Kim JH, Lee SI, Kang D. The replantation of an amputated tongue by supermicrosurgery. J Plast Reconstr Aesthet Surg 2007; 60: 1152-1155 https://doi.org/10.1016/j.bjps.2007.01.009
  7. Lobprise HB, Wiggs RB. Anatomy, diagnosis and management of disorders of the tongue J Vet Dent 1993; 10: 16-23
  8. Patel A. Tongue lacerations. Br Dent J 2008; 204: 355
  9. Philips IR. A survey of bone fractures in the dog and cat. J Small Anim Pract 1979; 20: 661-674 https://doi.org/10.1111/j.1748-5827.1979.tb06679.x
  10. Scott HW. The skull and mandible. In: Manual of small animal fracture repair and management. Eds A. R. Coughlan AR, A. Miller. BSAVA. 1998: 115-129
  11. Umphlet RC, Johnson AL. Mandibular fractures in the dog. A restrospective study. Vet Surg 1990; 19: 272-275 https://doi.org/10.1111/j.1532-950X.1990.tb01184.x
  12. White RAS, Lane JG. Pharyngeal stick penetration injuries in the dog. J Small Anim Pract 1987; 29: 13-35 https://doi.org/10.1111/j.1748-5827.1988.tb02261.x