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Case Reports
. 2018 Dec;38(1):118-124.
doi: 10.1080/01652176.2018.1535216.

A minimally invasive partial condylectomy and temporal bone resection for the treatment of a suspected chronic synovial sepsis of the temporomandibular joint in a 3.5-year-old paint horse gelding

S K Frietman  1 , E R van Proosdij  2 , S Veraa  3 , N de Heer  1 , F Ter Braake  1
Affiliations
Case Reports

A minimally invasive partial condylectomy and temporal bone resection for the treatment of a suspected chronic synovial sepsis of the temporomandibular joint in a 3.5-year-old paint horse gelding

S K Frietman et al. Vet Q. 2018 Dec.
No abstract available

Keywords: Equine; arthroscopy; horse; mandibular condylectomy; septic arthritis; temporomandibular joint.

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Figures

Figure 1.
Figure 1.
Fluctuant swelling at the level of the right TMJ (pointed by black arrow).
Figure 2.
Figure 2.
a) Ultrasonogram of the lateral aspect of the unaffected left TMJ. b) Preoperative ultrasonogram of the affected right TMJ; with clear soft tissue swelling (Sw), showing obvious irregular articular mandibular bone margins (Arrow) and a well-defined hypoechoic area dorsal and dorsolateral to it (*). c) Postoperative ultrasonogram, 6 weeks after arthroscopic debridement, showing a spacious right TMJ. T: Temporal bone, M: Mandible, L: Left TMJ, R: Right TMJ.
Figure 3.
Figure 3.
a) Intra-operative arthroscopic image, debridement of devitalized bone with a fenestrated, 3 mm, ethmoid arthroscopic rongeur (Sontec Instruments). b) debridement until healthy subchondral bone was reached.
Figure 4.
Figure 4.
a) Transverse CT image at the level of the temporomandibular joint; right on the right side. Partial condylectomy of the mandibular condyle (white arrows) is seen. Note the disuse osteopenia of the right mandible compared to the left. b) 3-D CT image of the right temporo-mandibular joint. Note the irregular contour defect due to the partial condylectomy of the mandibular condyle.
See this image and copyright information in PMC

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References

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