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Peer-reviewed veterinary case report

Mandibulectomy surgery in 9 cats using two approaches and care tips

By De Simoi, Alessandro et al.·Published in Journal of veterinary dentistry·2025·Clinica veterinaria Feltrina, Italy·View original on PubMed

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Original publication title: A Combined Ventral Extraoral and Intraoral Approach for Mandibulectomy in 9 Cats: A Case Series.

Species:
cat

Plain-English summary

Nine cats underwent surgery to remove part of their lower jaw due to tumors. The surgery combined both an outside and inside approach to the jaw, which helped the vets see and access the area better. After the operation, most cats experienced some swelling and drooling for about a week, but seven of them could eat right away. One cat took a month to eat normally again, while another needed help from its owner to eat. Overall, the surgical method used improved recovery and eating ability compared to previous reports.

People also search for: cat jaw surgery recovery · cat tumor removal · why is my cat drooling after surgery · cat eating problems after surgery · mandibulectomy in cats

Abstract

This retrospective case series describes a combined ventral extraoral and intraoral approach for mandibulectomy in cats and highlights the importance of prompt management of the postoperative iatrogenic malocclusion through dental extraction, crown height reduction with vital pulp therapy or root canal therapy of the contralateral mandibular canine tooth. Nine cats were reviewed for signalment, history and physical examination, diagnostic workup, tumor type, mandibulectomy extension, lymph node removal as well as both intraoperative and postoperative complications. The performed surgical procedure was a combination of an extraoral approach ventrally to the mandible and an intraoral approach to remove the whole or a part of the mandible. Lymphadenectomy was achieved using the same surgical access. None of the cats had intraoperative complications. Postoperative complications were limited to regional swelling and drooling lasting a week. Seven cats were able to eat immediately after the surgery. Of the other 2 cats, 1 regained the ability to eat within a month and 1 only ate from the owner's hands. The surgical approach for mandibulectomy described allowed better access and visualization of the caudal part of the mandible and direct access to regional lymph nodes. Moreover, if the expected postoperative malocclusion is managed during the same surgical procedure, there is a higher rate of postoperative eating ability compared to what is reported in the literature.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38772621/