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Peer-reviewed veterinary case report

Intracranial trauma associated with extraction of a temporal ear tooth (dentigerous cyst) in a horse.

Journal:
The Cornell veterinarian
Year:
1991
Authors:
Hunt, R J et al.
Affiliation:
Department of Large Animal Medicine · United States
Species:
horse

Plain-English summary

In this case, a horse had a dental issue involving an extra tooth that was growing in an unusual place, near the temporal bone of the skull. During surgery to remove this tooth, the horse experienced accidental damage to its brain. After the horse passed away, a second extra tooth was discovered pressing on the brain. The recommended treatment for this type of dental problem usually involves removing the abnormal tooth and any related tissue. Unfortunately, the surgery led to serious complications, and the outcome was not favorable.

Abstract

Heterotopic polyodontia is typically associated with a sinus and a fistulous tract with a secreting membrane which extends to an ectopic tooth attached to the temporal bone. Recommendations for treatment include complete excision of the tract, the dental component, and the lining of the alveolar socket. Iatrogenic cerebral trauma was encountered during surgical extraction of an ectopic tooth. At post-mortem examination a second ectopic tooth was found compressing the right side of the cerebellum.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/2029835/