Computer-assisted removal of an ectopic tooth from the mandibular fossa through a mandibular condylectomy approach in a Comptois gelding
Corresponding Author
Eloïse Greim
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Correspondence
Eloïse Greim
Email: [email protected]
Search for more papers by this authorMathieu de Preux
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorChristoph Koch
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorIlaria Petruccione
Division of Anaesthesiology and Pain Therapy, Department of Clinical Veterinary Sciences, Vetsuisse Faculty, University of Bern, Bern, Switzerland
Search for more papers by this authorMicael D. Klopfenstein Bregger
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorElke van der Vekens
Division of Clinical Radiology, Department of Clinical Veterinary Sciences, Vetsuisse Faculty, University of Bern, Bern, Switzerland
Search for more papers by this authorHervé Brünisholz
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorCorresponding Author
Eloïse Greim
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Correspondence
Eloïse Greim
Email: [email protected]
Search for more papers by this authorMathieu de Preux
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorChristoph Koch
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorIlaria Petruccione
Division of Anaesthesiology and Pain Therapy, Department of Clinical Veterinary Sciences, Vetsuisse Faculty, University of Bern, Bern, Switzerland
Search for more papers by this authorMicael D. Klopfenstein Bregger
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorElke van der Vekens
Division of Clinical Radiology, Department of Clinical Veterinary Sciences, Vetsuisse Faculty, University of Bern, Bern, Switzerland
Search for more papers by this authorHervé Brünisholz
Department of Clinical Veterinary Medicine, Vetsuisse-Faculty, Swiss Institute of Equine Medicine (ISME), University of Bern, Bern, Switzerland
Search for more papers by this authorSummary
A 3-year-old Comptois gelding with a history of chronic fistulation at the base of the right ear was referred for the treatment of a unilateral ectopic tooth in the right temporal region. Cone-beam computed tomography (CBCT) confirmed the presence of an ectopic tooth in the right mandibular fossa. The ectopic tooth was associated with a draining tract running through the zygomatic process of the right temporal bone. A total mandibular condylectomy provided a direct approach to the ectopic tooth, which was subsequently successfully removed. Long-term follow-up confirmed a satisfactory outcome despite the need for repeated debridement and persistence of a small draining tract 15 months postoperatively. Computer-assisted surgery (CAS) provided precise anatomical intraoperative orientation for the condylectomy and subsequent removal of the ectopic tooth close to the calvarium. The use of CAS greatly facilitated surgery and minimised the risks of important collateral damage.
CONFLICT OF INTEREST
No conflicts of interest have been declared.
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