Nebulised adrenaline to manage a life‐threatening complication in a pug with trismus

A 13‐month‐old pug with severe trismus because of suspected masticatory muscle myositis underwent anaesthesia for magnetic resonance imaging. When regurgitation occurred, the tongue was pulled from the mouth to enable suctioning but could not be repositioned into the oral cavity as it was not possible to open the mouth. Swelling due to venous congestion and a bite wound were treated using nebulised adrenaline and resolved within 2 hours allowing retraction of the tongue. The use of nebulised adrenaline offers a non‐invasive method of managing this potentially life‐threatening complication.     

How to Open the Mouth: the Kinetic Skull, and the Jaw and Branchial Apparatus in Sharks

Aims:  Mammals cannot swallow if their necks and, hence, their mm. sternohyoidei et sternothyroidei are stretched. In order to understand the functional morphology of mastication and swallowing in mammals, it is useful to understand its evolutionary origin.
Material and Methods:  Five formalin-preserved specimens of the Spiny Dogfish (Squalus ancanthias) were used for dissection or to prepare sagittal or transverse serial sections.
Results and Conclusions:  The feeding apparatus of the shark Squalus acanthias as a representative of the cartilaginous fishes serves as an excellent model of that of an ancestral vertebrate with a kinetic skull, in which the chondrocranium is movable relative to the jaw apparatus. To open the mouth, the cranium is raised by the epibranchial musculature, the palatoquadrate cartilage (i.e., upper jaw) is entrained, and the mandibular cartilage is held in place and prevented from following the upper jaw by the coracomandibular muscle. At the same time, the branchial basket and oropharyngeal cavity are expanded and held in place by the coracohyoid and coracoarcual muscles, which prevent the hyoid and branchial arches from being entrained cranially by the raised chondrocranium. The mandible is not retracted during the opening of the mouth in sharks because the branchial region would have to be compressed instead of expanded. In the course of the evolutionary modifications leading to mammals, the heart and respiratory apparatus became decoupled from the feeding apparatus through the formation of a neck. The skull became akinetic through the integration of the upper jaw into the base of the cranium. The mouth is not opened any longer by lifting the cranium, but by depressing the mandible through a special muscle, the m. depressor mandibulae . The coracomandibular muscle lost its function as a stabilizer of the mandible during mouth opening and became modified into the lingual and geniohyoid muscles.     

Functional morphology of the mastication muscles in the lesser and greater mouse deer

The mastication muscles were examined in the lesser (Tragulus javanicus) and greater mouse deer (Tragulus napu) to clarify the form of the mastication muscles in these primitive artiodactyls. The M. masseter was well-developed in both species, however the attachment area of its origin was not confirmed in the rostral facial part. The masseter bundles were not observed on the lateral side of the maxilla bone, and their origin was restricted to the zygomatic arch area. This suggests that the M. masseter may not act as a motor raising the mandible rostro-dorsally, but pull the insertion vertically unlike the highly derived grazer of Bovidae. The Crista temporalis was weak and the M. temporalis was thin in the mouse deer, and this indicates that the M. temporalis may not be important in the mastication in the primitive artiodactyls. These findings suggest that the browser such as mouse deer has been adapted for the feeding on soft leaves, and functional-morphologically different in mastication strategy from the grazer such as developed Bovidae species. The architecture of the mastication muscles was not different between the two species. However, in the muscle weight ratios per body weight, the M. temporalis and the M. digastricus were significantly smaller in greater mouse deer than in lesser mouse deer.     

Fiber type composition of rostral and caudal portions of the digastric muscle in the dog

The distribution of muscle fiber types in rostral and caudal portions of the musculus digastricus (digastric muscle) was studied in 6 dogs. Staining procedures which stain specifically for type IIM fibers, a fiber type found in other muscles supplied by the trigeminal nerve, were used. Rostral and caudal portions of the muscle were compared because the rostral portion is innervated by the trigeminal nerve, and the caudal portion is innervated by the facial nerve. The musculus triceps brachii (triceps muscle), which contains fiber types I and IIA, and the musculus masseter (masseter muscle), which contains type IIM, were used as controls. Mean fiber diameters were calculated for each of the muscles. Both portions of the digastric muscle exhibited the same histochemical behavior, possessing types I and IIA myofibers. Neither portion contained type IIM fibers. Type I fibers in the masseter muscle were histochemically different from type I fibers in the other muscles studied. Type II fibers predominated in all 3 muscles, but there were significantly (P less than 0.001) more type I fibers in the triceps muscle than in either portion of the digastric muscle or in the masseter muscle. Type II fibers were significantly larger than type I fibers in the caudal digastric (P less than 0.01) and masseter (P less than 0.05) muscles. There was no difference in the size of type I or type II fibers between any of the muscles studied (P greater than 0.20).     

Use of a laryngeal mask airway in a brachycephalic dog with masticatory myositis and trismus

An 8-month old, male, neutered bulldog was presented for investigation of a 2-day history of trismus. Endotracheal intubation was impossible as the dog was only able to open his mouth approximately 2 cm. A laryngeal mask airway was blindly inserted after induction of general anesthesia to maintain the patient on inhalational anesthesia and improve respiration for computed tomography and muscle biopsy. The dog recovered from anesthesia uneventfully.     

The Structure of the Masseter Muscle in the Giraffe (Giraffa camelopardalis)

In the giraffe (Giraffa camelopardalis), the masseter muscle was divided into several layers. The superficial and more medial (second) tendinous sheets of the masseter muscle fused with each other at the dorso-caudal part and a fleshy portion was located between these tendinous sheets. In the rostral part, the most superficial tendinous sheet turned around as a compact tendon and attached to the facial crest (Crista facialis). The turned tendinous sheet, however, never fused with the second tendinous sheet and this layer of the masseter muscle, that originated from the facial crest with the turned sheet, was inserted into the mandible with its fleshy portion. In the cattle, goat, sheep and Sika deer, the rostral layer of the masseter muscle arises from the facial crest with its fleshy portion and is inserted into the tubercle on the mandible through the strong tendinous sheet. In this study, the takin also showed the same structure of the masseter muscle. In the giraffe, however, the rostral layer inserted into the mandible through the strong tendinous sheet could not be distinguished, thus, there was no conspicuous tubercle on the mandible. Moreover in the masseteric region of the skull.,the giraffe was similar to the Sika deer in several ways. However, it is suggested that the giraffe exerts smaller forces on the cheek teeth than does the Sika deer because of its longer Margo interalveolaris.     

Relationships between tropomyosin and myosin heavy chain isoforms in bovine skeletal muscle

The composition of tropomyosin (TPM) and myosin heavy chain (MyHC) isoforms was analyzed in 10 physiologically different bovine muscles ( masseter , diaphragm, tongue, semispinalis, pectoralis profundus , biceps femoris, psoas major , semimembranosus, longissimus thoracis and semitendinosus ) to clarify the relationships between TPM and MyHC isoforms in different muscle fiber types. The content of TPM1 and TPM3 was different in muscles according to their function in muscle contraction, although the content of TPM2 was constantly about 50% of the total TPM in all muscles. The content of TPM1 was higher in semimembranosus , longissimus thoracis and semitendinosus, while that of TPM3 was higher in masseter and diaphragm. The high positive correlation between MyHC-slow content and TPM3 content ( r  = 0.92) suggested a coexpression of TPM3 and MyHC-slow isoforms in a muscle fiber. MyHC-slow and TPM3 were expressed at the same level in masseter and diaphragm, whereas there was more TPM3 than MyHC-slow in tongue and semispinalis , so it appears that the excess TPM3 in tongue and semispinalis is expressed with other MyHC isoforms. MyHC-2a was the only fast type isoform expressed in tongue and semispinalis . Therefore, the excess TPM3 was composed of myofibrils with MyHC-2a. The results suggested that a fiber expressing MyHC-2a would be regulated delicately by changing the TPM isoform types.     

Skeletal muscle perfusion during prolonged 2.03% end-tidal isoflurane-O2 anesthesia in isocapnic ponies

Effects of 1.55 minimum alveolar concentration isoflurane O2 anesthesia (2.03% end-tidal isoflurane) on blood flow in the up-(nondependent) and down-(dependent) positioned skeletal muscles were studied at 60, 120, and 180 minutes in 6 healthy isocapnic ponies in right lateral recumbency on a nonpadded hardwood floor. Measurements were made, using 15-micron diameter radionuclide-labeled microspheres injected into the left ventricle, and comparisons were made with data obtained from ponies in the conscious state. Isoflurane administration caused a sharp reduction in cardiac output and systemic pressure (P less than 0.01), but total peripheral resistance did not change significantly. In the triceps brachii, gluteus medius, biceps femoris, and vastus lateralis of both sides, blood flow decreased significantly during 1.55 minimum alveolar concentration isoflurane anesthesia (P less than 0.01), and fluctuations did not occur with increasing duration of anesthesia. In masseter muscles, perfusion values during the 3 hours of anesthesia were not significantly different from values in awake ponies. Despite the fact that 4 ponies developed marked edema of the dependent masseter muscle, 1 pony without masseter edema developed postanesthetic forelimb lameness and 2 of the 4 ponies with masseter edema had generalized hind limb weakness after anesthesia; significant differences in blood flow between up- and down-positioned muscles were not observed. During isoflurane-O2 anesthesia in ponies, a sharp significant decrease in skeletal muscle blood flow was observed (P less than 0.01). Decreased equine skeletal muscle perfusion during isoflurane anesthesia also may be accompanied by accentuated O2 loss from the arterial blood via the countercurrent O2 exchange between large arterioles and venules.     

Evaluation of a laryngoscope and a rigid endoscope for the examination of the oral cavity of small mammals

The oral cavities of 65 rabbits, 35 chinchillas, 38 guinea pigs, 19 degus and 13 prairie dogs suffering from a lack of appetite, hypersalivation, moist dermatitis, swelling of the lower jaw or mild exophthalmos were examined with a paediatric laryngoscope and rigid endoscope. The laryngoscope was safe and satisfactory for a preliminary examination, but changes in the less accessible caudal parts of the cavity could not be identified precisely. A rigid endoscope with 30 degrees optics made it possible to examine all parts of the oral cavity and oropharynx, and make detailed observations of surface lesions on the premolar and molar teeth and the mucosal surface of the gingiva, tongue and hard palate; endoscopy with 70 degrees optics provided an excellent view of the occlusal tooth surfaces, tooth crowns, and buccal mucosa. The collection of biopsy samples, the removal of foreign objects and the correction of malocclusions were greatly simplified by the use of the endoscope owing to the clear visualisation of the procedures, and the risk of injury was minimised. The examinations with a laryngoscope were made effectively on animals that were manually restrained, but a thorough examination with a rigid endoscope required the animals to be anaesthetised.     

Computed tomography and cross-sectional anatomy of the head in the giant anteater (Myrmecophaga tridactyla)

The aim of this study was to identify the anatomical structures in the head region of the giant anteater (Myrmecophaga tridactyla) using computed tomography. For this, three giant anteater corpses, adult and female, were used. The tomographic analysis was performed in sequential order in rostrocaudal direction. Subsequently, the heads of these animals were sectioned in cross sections of approximately 1.5 cm each. Tomographic images were compared with anatomical sections. The association between computed tomography and anatomical sections allowed the visualization of anatomical structures found in the nasal, oral, cranial, pharyngeal and ear cavities. An elongated oral cavity delimited by the elongated mandible was observed. The oral cavity was mainly occupied by a thin and elongated tongue formed mainly by the union of the sternoglossal muscles. The nasopharynx and oropharynx extended up to the neck at the level of the fifth cervical vertebra. The findings of this study suggest that the giant anteater has a head with structures morphologically adapted to its feeding habits, such as an elongated skull, tongue, styloid bones and mandible. In addition, based on the results of this study, it is possible to suggest that computed tomography is a pivotal tool for the veterinary routine of wild animals, since it allowed the identification of anatomical structures found in the head of the giant anteater.     

Mandibular Osteodistraction for Correction of Deep Bite Class II Malocclusion in a Horse

Objective— To describe a technique for, and outcome after, mandibular osteodistraction in the horse.
Study Design— Clinical report.
Animals— Warmblood horse.
Methods— A half ring external fixator was applied on both sides of an osteotomy site performed on the mandible of a colt. A bite plate was placed on the upper incisors creating occlusion between lower and upper jaw. After a 5-day latency period, distraction was applied (1 mm/day) until the overjet was judged normal.
Results— Mandibular elongation and correction of brachygnathia was obtained without major complications. Six months after the procedure the overjet reduction was considered stable.
Conclusions— Mandibular osteodistraction can be considered for treatment of severe brachygnathia in yearlings.
Clinical Relevance— Distraction osteogenesis has the advantage of progressive elongation of the mandible, allowing concurrent bone remodeling and soft tissue adaptation. Severe mandibular incisor malocclusion in horses outside the maximal growth phase can be corrected using this technique.     

A Surgical Approach to the Ramus of the Mandible in Cattle and Horses Case Reports of a Bull and a Horse

A surgical approach to the ramus of the mandible was developed. Subperiosteal elevation of the masseter muscle from the ramus allowed reduction and plate fixation of ramus fractures in a bull and a horse. Results of follow-up examinations, 2 years after surgery, showed excellent functional and cosmetic results.     

Severe masseter myonecrosis in a horse

A 6-year-old Quarter Horse was examined because of acute, severely swollen masseter muscles (palpation of which elicited pain response), exophthalmos, severe chemosis, and protrusion of the third eyelids. Blood selenium and vitamin E concentrations, and results of feed analysis and muscle biopsy supported a diagnosis of nutritional myopathy. The horse was treated and was clinically normal 2 weeks after discharge from the hospital.     

Computed tomographic appearance of masticatory myositis in dogs: 7 cases (1999-2006)

OBJECTIVE: To document computed tomography (CT) features in dogs with masticatory myositis. DESIGN: Retrospective case series. ANIMALS: 7 dogs with an immunologic diagnosis of masticatory myositis and an absence of clinical abnormalities of any skeletal muscles other than the masticatory muscles. PROCEDURES: History; clinical, hematologic, biochemical, immunologic, cytologic, and histologic findings; and pre- and postcontrast CT imaging features of masticatory muscles and head and neck lymph nodes were extracted from medical records. RESULTS: On CT images, changes in size (atrophy or swelling) were common for all masticatory muscles except the digastricus muscles, which were involved only in 1 dog. Pre-contrast attenuation changes, most often hypoattenuation with varied distribution patterns, were seen in masticatory muscles of 4 dogs. Contrast enhancement with a predominantly inhomogeneous distribution pattern was seen in the temporalis, masseter, and pterygoid muscles of all dogs. Head and neck lymph nodes were enlarged in all but 1 dog and had contrast enhancement with predominantly central or homogeneous distribution patterns. Muscle biopsy was performed in 6 dogs, with biopsy specimens obtained from areas that had the most obvious contrast enhancement on CT images. For all 6 dogs, biopsy specimens had histologic features indicative of masticatory myositis. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that CT may be a useful adjunct in the diagnosis of masticatory myositis in dogs, including selection of sites for diagnostic muscle biopsy.     

Paralumbar Fossa Laparoscopic Ovariectomy in Horses With Use of Endoloop Ligatures

Objective —The purposes of this study were to develop a technique of paralumbar fossa laparoscopic ovariectomy using Endoloop ligatures and to avoid a laparotomy incision for ovary removal by using a 33–mm diameter muscle spreader trocar-cannula unit.
Animals or Sample Population —Seven mares.
Methods —Bilateral laparoscopic ovariectomy was performed under general anesthesia in two horses and under neuroleptanalgesia and local anesthesia in five standing mares. Ovaries were approached from the ipsilateral paralumbar fossa through two portal sites located in the paralumbar fossa and a third between the 17th and 18th ribs. Insufflation of the abdominal cavity was achieved using an automatic carbon dioxide insufflator. Two Endoloop ligatures were placed on the mesovarium. The cannula, located in the center of the paralumbar fossa, was removed, and a 33-mm diameter trocar-cannula unit, with a cone-shaped muscle spreader extremity, was inserted through the same portal. The mesovarium was transected between the ovary and the ligatures. The ovaries were removed from the abdomen through the 33-mm diameter cannula. The abdominal wall was closed in a routine manner.
Results —No major complications occurred during or after surgery.
Conclusion —Paralumbar fossa laparoscopic ovariectomy in mares using Endoloop ligatures and the 33-mm diameter trocar-cannula unit was an effective technique for ovariectomy of normal ovaries in this study.
Clinical Relevance —Endoloop ligatures provide a viable alternative for laparoscopic ligation of ovarian pedicles in mares.     

Use of ketamine, xylazine, and diazepam anesthesia with retrobulbar block for phacoemulsification in dogs

Objective  The study was undertaken to evaluate the use of ketamine, xylazine, and diazepam along with a local retrobulbar nerve block for routine phacoemulsification in the dog.
Animals  Ten clinically healthy mixed-breed dogs of either sex, weighing between 10 and 15 kg.
Procedures  Ten mixed-breed dogs were selected for unilateral cataract removal by phacoemulsification. Standard preoperative preparations for cataract surgery were followed. Pre-anesthetic medication consisted of atropine sulfate (0.02 mg/kg, SC). Anesthesia was induced by xylazine HCl (1.0 mg/kg, IM) followed by ketamine (5.0 mg/kg, IM). Anesthesia was maintained subsequently with IV ketamine and diazepam to effect and depth of anesthesia was assessed clinically by pedal reflex and jaw reflex. After induction of anesthesia, a retrobulbar nerve block was performed using 2 mL of 2% lignocaine. Eye position was graded after retrobulbar block and IOP was examined preoperative, post-anesthetic, 6 h postoperative and 24 h after surgery. Phacoemulsification was performed using the phaco-chop technique and an intraocular lens was placed. Anesthetic recovery and postoperative recovery following surgery was recorded.
Result  The exposure of the globe in all the dogs was adequate; the desired central fixation of the eye was obtained and surgery could be performed uneventfully. The mean IOP recorded after induction of anesthesia was 15.75 ± 0.82, which was not significantly ( P  > 0.01) different from pre-anesthetic values (14.85 ± 0.85).
Conclusion  Phacoemulsification was successfully performed with this anesthetic regimen without encountering major intraoperative or anesthetic complications.     

Tracheal Obstruction due to Glossal Entrapment by a String Foreign Body in a Peahen (Pavo cristatus)

A female juvenile peahen (Pavo cristatus) presented with acute respiratory distress after the owner observed the bird apparently “choking” the night before presentation. A swelling at the base of the throat was also noted by the owner approximately 2 days prior to the “choking” incident. An air sac breathing tube was placed immediately following presentation and the respiratory rate and effort returned to normal. While performing a physical examination on the patient, a string foreign body was identified and removed from the oral cavity. The string had been wrapped around the base of the tongue, initially resulting in a laceration at the base of the tongue and displacing the glottis caudally, but eventually retroflexed the tongue resulting in occlusion of the glottis. Once the string was transected, the tongue was replaced into normal anatomic position. Three days after presentation, the bird was able to breathe normally with the air sac tube occluded, thus the air sac tube was removed. The lesions under the tongue completely resolved 8 weeks following the initial presentation. Although there have been reports of string foreign bodies in avian species, there are no reports of these foreign bodies causing entrapment of the tongue with subsequent obstruction of the glottis.     

Use of serial standing computed tomography for diagnosis,treatment and monitoring of a horse with acute myonecrosis of the head

An 11-year-old American Quarter Horse gelding was referred to the JT Vaughan Large Animal Teaching Hospital at Auburn University, College of Veterinary Medicine, for investigation of acute and severe right-sided facial swelling and nasal discharge. Standing computed tomographic (CT) examination of the head identified severe soft tissue swelling surrounding the right mandible, emphysema within the soft tissues tracking along fascial planes and right-sided caudal and rostral maxillary sinusitis. Using CT identification and ultrasound guidance, several targeted fasciotomies were created into the right masseter, cranial cervical musculature, supraorbital space and caudo-medial aspect of the mandible. The right-sided sinusitis was treated by right conchofrontal sinus trephination and lavage. Aerobic and anaerobic cultures obtained from the fasciotomy sites and conchofrontal sinus both yielded Prevotella intermedia and Peptostreptococcus asaccharolyticus. During hospitalisation, serial, standing CT examinations were performed for monitoring case progression and guiding further fasciotomies in the face of continued myonecrosis. Follow-up CT performed at 1 month showed resolution of the emphysema and presence of chronic right ventral conchal sinusitis. The sinusitis was treated by fenestration of the right ventral concha with a diode laser via the nasal passage.     

Performance of clinical signs to detect bluetongue virus serotype 8 outbreaks in cattle and sheep during the 2006-epidemic in The Netherlands

The performance of clinical signs as a diagnostic test for the detection of BTV-8 outbreaks during the 2006-epidemic in The Netherlands was evaluated by constructing and analysing receiver operating characteristic (ROC) curves. The area under the ROC curve of the BT-associated clinical signs in cattle was 0.77. An optimal efficient test (maximising both sensitivity and specificity) in cattle herds combined a sensitivity (Se) of 67% with a specificity (Sp) of 72%, comprising the following clinical signs: ulcerations and/or erosions of oral mucosa or erosions of lips/crusts in or around nostrils or oedema of the nose or hyperaemic/purple coloration of tongue, tongue protrusion or coronitis or apathy/tiredness or muscle necrosis, stiffness of limbs or loathing or refusal to move, prostration or torticollis or anoestrus. The area under the ROC curve of the BT-associated clinical signs in sheep was 0.81. The optimal efficient test in sheep flocks combined a Se of 76% with a Sp of 72%, comprising the following clinical signs: ulcerations of oral mucosa or serous nasal discharge or erosions/ulceration of tongue mucosa or hypersensitivity of the skin or muscle necrosis, stiffness of limbs or coronitis or grinding of teeth or salivation or weakness/paresis.