Lapis ISSN 2398-2969

Mouth: soft tissue trauma

Contributor(s): Lesa Thompson, Anna Meredith

Introduction

  • Cause: trauma to oral soft tissues.
  • Signs: associated with oral discomfort, mostly relating to ability to eat/perform cecotrophy/groom.
  • Diagnosis: history, clinical examination, including oral assessment under anesthesia, imaging technique may be useful.
  • Treatment: analgesia paramount, surgical procedures may be required, other medication as appropriate.
  • Prognosis: good if infection not present.

Presenting signs

  • Drooling, ptyalism caused by oral discomfort resulting in wet chin/neck areas and moist dermatitis   Moist dermatitis  .
  • Reduced or altered appetite.
  • Weight loss   Weight loss  .
  • Reduced or altered fecal output.
  • Reduced coprophagy evidenced by perianal clagging   Sticky bottom syndrome  , resultant myiasis   Fly strike   likely in warmer months.
  • Reduced grooming resulting in unkempt coat.
  • Peri-oral swellings (visible or palpable), particularly if infection present.
  • Oral discharge, eg hemorrhagic after acute trauma.

Acute presentation

  • Hemorrhagic oral discharge.
  • Lethargic demeanor.
  • Possible dyspnea   Dyspnea  if severe hemorrhage or swelling present, particularly if extends into oropharynx.

Breed predisposition

  • Iatrogenic dental trauma more likely in smaller breeds such as Netherland Dwarfs   Netherland Dwarf  due to reduced access during dental procedures.

Cost considerations

  • Treatment costs may be high if procedures under anesthesia required, also prolonged medication may be necessary.

Special risks, eg anesthetic

Pathogenesis

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Diagnosis

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Treatment

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Prevention

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Sequelae

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Further Reading

Publications

Refereed papers

Other sources of information

  • Mehler S J (2006)Common Surgical Procedures.In: Manual of Rabbit Medicine and Surgery. 2nd edn. Eds: Meredith A & Flecknell P. BSAVA, Gloucester. pp 166-183.
  • Harcourt-Brown F (2002)Textbook of Rabbit Medicine.Butterworth Heinemann, Oxford.


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