Original Article – Clinical
Large Segmental Mandibulectomy for Treatment of an Undifferentiated Sarcoma in a Horse
Version of Record online: 21 FEB 2013
© Copyright 2013 by The American College of Veterinary Surgeons
Volume 42, Issue 4, pages 433–439, May 2013
How to Cite
Carmalt, J. L. and Linn, K. A. (2013), Large Segmental Mandibulectomy for Treatment of an Undifferentiated Sarcoma in a Horse. Veterinary Surgery, 42: 433–439. doi: 10.1111/j.1532-950X.2013.01086.x
- Issue online: 15 MAY 2013
- Version of Record online: 21 FEB 2013
- Manuscript Accepted: 1 SEP 2012
- Manuscript Received: 1 FEB 2012
To describe a large segmental (sub-total) mandibulectomy for removal of an undifferentiated sarcoma in a horse.
A 10-year-old mare.
A combination of methods including computed tomography (CT) were used to diagnose a large undifferentiated sarcoma of the right mandible. A large segmental mandibulectomy extending from 3 cm below the right temporomandibular joint to immediately caudal to tooth 407 was used to perform an en-bloc resection of the mass under general anesthesia.
Surgery time was 11 hours and 35 minutes and total anesthesia time, 12 hours and 40 minutes. The mare was eating well 3 days after surgery. Some postoperative skin sloughing occurred, but the cosmetic and functional outcome was good. The mare continued to do well, with no evidence of disease recurrence, 24 months after surgery.
Three-dimensional reconstruction of the CT images was instrumental in surgical planning. A very large portion of the mandible can be removed in a horse with acceptable cosmetic and functional outcome.