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Unilateral, Rostral Maxillary Sinusitis Resulting from Displacement and Retention of an Alveolar Plug in a 4-Year-Old Horse.
- Source :
-
Journal of veterinary dentistry [J Vet Dent] 2022 Sep; Vol. 39 (3), pp. 278-283. Date of Electronic Publication: 2022 May 29. - Publication Year :
- 2022
-
Abstract
- Sinusitis is a common occurrence in horses and often develops secondary to dental disease. Extraction of cheek teeth in horses is associated with variable degrees of complications and although postoperative displacement and retention of alveolar plugs has been identified as one such potential complication, few cases of resulting sinusitis have been reported. This manuscript describes a four-year-old Thoroughbred mare that was presented for chronic unilateral left-sided mucopurulent nasal discharge after extraction of the left maxillary second molar tooth two months earlier. Radiographic and computed tomographic (CT) examinations revealed a well circumscribed, soft tissue opacity in the left rostral sinus compartment. Intraoral examination revealed feed impacted in the alveolus of the extracted tooth and an oral sinus fistula. Upper airway endoscopy showed thick, purulent material at the nasomaxillary aperture. Sinoscopy showed unexpectedly clean frontal, dorsal conchal and caudal maxillary sinuses. The alveolar dental plug associated with previous exodontia became apparent within the sinus and was removed through the sinoscopy portal. Repeat endoscopies confirmed progressive clearance of the sinusitis during hospitalization. Unilateral nasal discharge returned three months later. An abscess within the sinus had formed. Complete resolution of the sinusitis was achieved after lancing the abscess and further sinus lavage. Sinoscopy through a frontal sinus trephination portal proved useful in diagnosis and treatment. Detailed evaluation of structures allowed for rapid establishment of adequate drainage and communication between all sinus compartments without osteoplastic surgery.
- Subjects :
- Abscess complications
Abscess veterinary
Animals
Endoscopy veterinary
Female
Horses
Maxillary Sinus surgery
Horse Diseases diagnostic imaging
Horse Diseases etiology
Maxillary Sinusitis diagnosis
Maxillary Sinusitis etiology
Maxillary Sinusitis surgery
Maxillary Sinusitis veterinary
Sinusitis etiology
Sinusitis surgery
Sinusitis veterinary
Subjects
Details
- Language :
- English
- ISSN :
- 2470-4083
- Volume :
- 39
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of veterinary dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 35635231
- Full Text :
- https://doi.org/10.1177/08987564221104206