Alternative Approach to Bilateral Condylectomy in a Brachycephalic Cat with Traumatic Caudoventral Temporomandibular Joint Luxation.

Abstract

This case describes the diagnosis and treatment of a bilateral caudoventral temporomandibular joint (TMJ) luxation in a 7-year-old intact male Persian cat following a fall from the fourth floor of a building. The patient sustained traumatic brain injury and dental fractures. Diagnostic imaging, including intraoral radiographs and computed tomography, confirmed a bilateral caudoventral TMJ luxation. Surgical intervention was delayed for 10 days due to the patient's neurological status, limiting the chances for a successful joint reduction. A modified surgical approach facilitated precise localization of the condylar process and minimized morbidity. Postoperative outcome was favorable, with the patient resuming voluntary eating within 5 days. Timely and accurate treatment is essential for the successful restoration of joint function in feline patients suffering from traumatic dislocation of the TMJ. This is particularly critical in brachycephalic breeds, which may have a predisposition to such injuries.