Surgical Reconstruction of the Severe Tongue Laceration with Mandibular Fracture in a Siberian Husky Dog

다국어 초록 (Multilingual Abstract)

A 3-year-old castrated male Siberian husky was presented for evaluation after being hit by a car. On physical
examination, the dog showed open-mouth, displacement of mandible and hypersalivation with blood ting. The base
of tongue was transected almost 80% on the bias from right dorsal side to the left ventral side. Radiography demonstrated
separation of mandible symphysis, and fracture of right condyle and vertical ramus. After debridement of the necrotic
tissue, tongue apposition with simple interrupted suture was performed. Mandibular symphysis, condyle and mandibular
vertical ramus fractures were fixed using pin, cerclage wire, T-plate, and K-wires. The mouth was irrigated daily using
chlorhexidine after surgery. The sutures that were loose here or untied at tongue were re-sutured under sedation. The
transected tongue was healed and recovered its normal movement after 6 weeks.

참고문헌 (Reference)

1 Dunning, D, "Tongue, lips, cheeks, pharynx, and salivary gland. In: Textbook of small animal surgery" W.B. Saunders 553-561, 2003

2 Patel A, "Tongue lacerations" 204 : 355-, 2008

3 Scott HW, "The skull and mandible. In: Manual of small animal fracture repair and management" BSAVA 115-129, 1998

4 Kim JS, "The replantation of an amputated tongue by supermicrosurgery" 60 : 1152-1155, 2007

5 Adams SB, "Surgical repair of a severe laceration in a horse's tongue" 73 : 1394-1395, 1978

6 Gerbino G, "Rigid fixation with teeth in the line of mandibular fractures" 26 : 182-186, 1997

7 White RAS, "Pharyngeal stick penetration injuries in the dog" 29 : 13-35, 1987

8 Griffiths LG, "Oropharyngeal penetrating injuried in 50 dogs: a retrospective study" 29 : 383-388, 2000

9 Umphlet RC, "Mandibular fractures in the dog. A restrospective study" 19 : 272-275, 1990

10 DeNardo GA, "Comparison of seven different suture material in the feline oral cavity" 32 : 164-172, 1996

11 Lobprise HB, "Anatomy, diagnosis and management of disorders of the tongue" 10 : 16-23, 1993

12 Philips IR, "A survey of bone fractures in the dog and cat" 20 : 661-674, 1979