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Peer-reviewed veterinary case report

Radiographic appearance of maxillary sinus feed impaction in a horse.

Journal:
Journal of veterinary dentistry
Year:
2013
Authors:
Montgomery, James E & Carmalt, James L
Affiliation:
Western College of Veterinary Medicine · Canada
Species:
horse

Plain-English summary

A 15-year-old Belgian gelding was having trouble breathing and had a runny nose with pus, along with bleeding from one nostril. He also had a history of dental problems and had been losing weight recently. X-rays showed that he had an infection in the root of one of his upper back teeth and likely had food stuck in his maxillary sinus (a space in the skull near the nose). These issues were confirmed during surgery and an examination after he passed away. The specific appearance seen on the X-rays is a clear sign of food impaction in the sinus.

Abstract

A 15-year-old Belgian gelding presented in respiratory distress, with bilateral mucopurulent nasal discharge, and right-sided epistaxis. The horse had a 5-year history of dental disease and had been recently losing weight. Radiographs indicated tooth root abscessation of the right maxillary third molar tooth and probable maxillary sinus feed impaction. These findings were confirmed at surgery and necropsy. The stippled, granular radiographic appearance described here is highly characteristic of sinus feed impaction.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/24371923/