Efficacy of greater auricular and auriculotemporal nerve blocks performed in rabbits

ObjectiveTo evaluate the efficacy, duration and safety of greater auricular and auriculotemporal nerve blocks in rabbits.Study designProspective, randomized, crossover, experimental study.AnimalsA total of 11 healthy adult Dutch-belted rabbits.MethodsThe rabbits underwent general anesthesia and injections of the greater auricular and auriculotemporal nerves using either bupivacaine (0.3 mL kg^–1, 0.5%) or the same volume of saline. After anesthesia, the efficacy and duration of nerve blocks were assessed using analgesiometry forceps on the pinna and cotton-tipped applicators within the vertical ear canal. Rabbits were monitored for abnormal carriage of the ear and auriculopalpebral nerve block of the ipsilateral eye. Body weight, food intake, fecal output and fecal pellet diameter were measured daily for 6 days after the nerve blocks were performed and compared with baseline to assess short-term effects.ResultsThe greater auricular nerve was successfully blocked in 12/16 (75%) ears for mean ± standard deviation duration of 88 ± 52 minutes. In successfully blocked ears, altered ear position was noted in five/16 (31%) cases. The auriculotemporal nerve was blocked in one/16 ears for 120 minutes. The auriculopalpebral nerve was inadvertently blocked in three/16 ears. Food intake and fecal output decreased significantly during the treatment day but returned to pretreatment values after 24 hours. There was no change in body weight or fecal pellet diameter for either treatment.Conclusions and clinical relevanceThe results suggest that duration of the greater auricular nerve block with 0.5% bupivacaine was short-lived in the live rabbit. Auriculotemporal nerve block was only achieved in one ear; therefore, further studies are warranted to evaluate the contribution of these blocks in the pain management of rabbits undergoing auricular surgery.     

SIALOGRAPHY IN CATTLE: TECHNIQUE AND NORMAL APPEARANCE

Sialography of the bovine mandibular and parotid salivary glands was performed by injecting iodinated, water soluble contrast medium into the respective ducts. The anatomy of the above mentioned salivary glands was studied on cadaver heads. The mandibular duct enters the oral cavity on the ventral surface of the sublingual caruncles, which are located medial to the orifice of the ventral sublingual gland duct. The parotid gland duct enters the oral cavity on the cheek opposite the upper 2nd molar (Sth cheek tooth). Prior to applying sialography to live animals, the technique of catheterization, injection and radiography had to be developed, which was carried out on cadaver heads. Subsequently the technique was applied to 5 live animals. The animals were sedated, the mandibular and parotid ducts catheterized, and contrast medium was injected into each gland. Latero-lateral radiographs were made immediately after the injection. The normal bovine mandibular and parotid glands, as depicted on sialograms, have a multilobutated appearance in cadaver heads, but in the live animal only the ducts and their smaller branches could be identified. The parotid duct leaves the deep surface of the rostral end of the gland and courses along the border of the masseter muscle before it enters the mouth. The mean diameter of the duct was 4.2 ± 0.3 mm. The mandibular duct is composed of a rostral and a caudal branch. The caudal branch describes a semi circular turn prior to joining the rostral branch. The mean diameter of the main duct was 2.8 ± 0.4 mm.     

The vascular bed in the rabbit ear: microangiography and scanning electron microscopy of vascular corrosion casts

The vascular bed of the rabbit ear has been studied with light microscopy, microangiography and scanning electron microscopy of resin casts in a series of 20 ears. The major arteries supplying the ear were the central and rostral auricular branches of the caudal auricular artery. The caudal auricular branch was not observed, except as a small vessel supplying the rostral auricular base. The central auricular branch supplied blood to most of the auricular integument and was surrounded by capillaries extended from those supplying the skin. The periarterial capillaries formed a fine, compact network in the tunica media and were closely related to the central auricular branch. Evidence is presented suggesting that this vascular mechanism has a counter-current heat-exchange function for regulating body temperature. The artery had the well-developed internal elastic lamina and intimal cushions that regulate blood flow at the branching sites. A number of arteriovenous anastomoses were also observed between arterioles and venules, particularly in marginal regions of the ear. The intimal cushions and arteriovenous anastomoses might play an additional role in thermoregulation by regulating local blood flow in the ear.     

Anatomy and Anaesthesia of the Equine External Ear Canal

Anaesthesia of the external ear canal (external acoustic meatus) is usually performed by blocking both the great and internal auricular nerves by regional infiltration. However, exact landmarks for blocking the internal auricular nerve to accomplish effective anaesthesia have not been described yet. In this study, detailed anatomical dissection of the equine external ear canal and its nerve supply was carried out on fifteen cadaver heads. Tissue samples of the dissected nerves were taken from two cadaver heads processed and were evaluated microscopically. Prior to the dissection, the region of interest was evaluated ultrasonographically, and injection of a local anaesthetic was simulated with an injection of methylene blue on ten cadaver heads. The tympanic membranes of three cadaver heads were obtained by microdissection and processed for microscopic evaluation. The entrance point of the internal auricular nerve, which is a branch of the facial nerve, into the ear canal is formed by the styloid process of the auricular cartilage. Using ultrasound, the styloid process presented as a thin hyperechoic line 2.17–2.97 cm deep, based on the skin surface. Landmarks for performing a complete and reliable anaesthesia of the external ear canal were established, and the simulated anaesthesia with methylene blue injection was evaluated as successful in all ten cases. Additionally, the histological composition of the equine tympanic membrane is described and illustrated.     

Sialography of sheep parotid and mandibular salivary glands

The anatomy of ovine salivary glands was studied on cadaver heads. The mandibular duct enters the oral cavity on the ventral surface of sublingual caruncles, which are located medial to the orifice of the ventral sublingual gland duct. The parotid gland duct enters the oral cavity on the cheek opposite the upper 2nd molar. Prior to applying sialography to live animals, the procedure was carried out on cadaver heads then the live animals were sedated, the mandibular and parotid ducts catheterized and contrast medium was injected into each gland. Lateral radiographs were made immediately after the injection. The normal sheep mandibular and parotid salivary glands have a multilobular appearance in cadaver heads, but in live animal only the ducts and their smaller branches could be identified. The mean diameter of mandibular and parotid duct were 1.4+/-0.3 mm and 3. 1+/-1.0 mm respectively. The monostomatic sublingular gland had a slender shape in the sialogram. In conclusion sialography of mandibular, parotid and sublingual salivary glands in sheep is practical and can be helpful in diagnosis of pathological conditions of these glands.     

Lectin Histochemistry of Glycoconjugates in Horse Salivary Glands

The glycoconjugate content of major horse salivary glands was investigated by means of horseradish peroxidase-conjugated lectins. Qualitative differences were observed in the terminal sugar residues of secretory glycoproteins and glycoconjugates linked to the apical surface of excretory duct epithelial cells. Mucous acinar cells in mandibular and sublingual glands contained oligosaccharides with D-galactose, α- and β-N-acetylgalactosamine, N-acetylglucosamine and fucose residues, whereas mandibular, sublingual and parotid serous cells contained only oligosaccharides with terminal α- and β-N-acetylgalactosamine residues. The apical portion of striated and interlobular duct lining cells of mandibular and sublingual glands stained for α- and β-N-acetylgalactosamine and for N-acetylglucosamine. In parotid gland the cytoplasm of intercalated duct cells and the apical surface of striated duct epithelial cells stained for α-N-acetylgalactosamine.     

Surgical management of acute ear canal separation in a cat

A 5-year-old cat presented with haemorrhagic left aural discharge, 2 days following a road traffic accident. Otoscopic examination identified disruption of the external ear canal at the auricular/annular cartilage junction. This was managed by total ear canal ablation and lateral bulla osteotomy. Left sided facial nerve deficits were present following surgery. Eighteen months postoperatively there were no auricular problems, however facial nerve deficits persisted. There are no previous reports describing management of acute separation at the auricular/annular cartilage junction of the external ear in the cat or dog. This case report describes the presentation, diagnosis and surgical management of an acute ear canal separation at the auricular/annular junction of the external ear canal in a cat.     

Standing transcutaneous surgical excision of a sialolith in an 11-year-old Thoroughbred mare

An 11-year-old Thoroughbred mare was diagnosed with sialolithiasis of the right parotid salivary duct. A firm nonpainful subcutaneous mass was palpable in the right maxillary region adjacent to premolar 4 (tooth 108). Radiographic and ultrasonographic examinations identified a discrete mineralised ovoid mass that was hyperechoic and produced an acoustic shadow. Surgical excision of the mass was performed under standing sedation using a transcutaneous approach and the excised sialolith submitted for histopathological and mineral composition analyses. Histological examination found no evidence of a nidus at the sialolith's core. Mineral analysis of the sialolith revealed its composition to be 40% calcium phosphate (apatite) and 60% calcium carbonate. The mare recovered with no post-operative complications and was clinically unremarkable 2 years later.     

Origin and distribution of facial nerve anatomy in van cats

This study aims to reveal the morphological properties of facial nerve and the middle ear in Van cats. Study material was composed of 6 female Van cats. Dissections were performed under a Zoom Stereo Microscope. There was no plexus buccalis in Van cats. The chorda tympani was observed to pass through an opening in the tympanic cavity, emerge through a small opening just behind the retroarticular process, and join the lingual nerve. A rounded anatomical formation with a size of 2.75 ± 0.3 mm was found to be located within the mastoid process of the temporal bone between the facial nerve and the auricular branch of the vagus nerve. The stapes nerve was not present. The geniculate ganglion was very prominent and about 1.00 mm high. The deep petrosal nerve was observed to emerge from the plexus tympanicus. The bulla tympanica was 18.96 ± 0.10 mm long, 13.03 ± 0.20 mm wide and 13.16 ± 0.20 mm high. After leaving the mandibular nerve, the n.tensoris tympani coursed caudally around the a.maxillaris, formed an ansa, entered the tympanic cavity through the canalis musculotubarius and reached an end in the m. tensor tympani. Due to the scarcity of studies on the middle ears of Van cats, it is thought that this study will fill a gap in the field of veterinary anatomy.     

Donkey dental anatomy. Part 1: Gross and computed axial tomography examinations

Post-mortem examination of 19 donkey skulls showed that donkeys have a greater degree of anisognathia (27% width difference between upper and lower jaws) compared to horses (23%). Teeth (n=108) were collected from 14 skulls and examined grossly and by computed axial tomography (CAT). A greater degree of peripheral enamel infolding was found in mandibular cheek teeth (CT) compared to maxillary CT (P<0.001). A significant increase in peripheral cementum from the apical region to the clinical crown was demonstrated in all CT (P<0.0001). All donkey CT had at least five pulp cavities with six pulp cavities present in the 06s and 11s. A new endodontic numbering system for equid CT has been proposed. A greater occlusal depth of secondary dentine (mm) was present in older donkeys (>16 years) than in the younger (<15 years) donkeys studied. Based on gross and CAT examinations, donkey dental anatomy was shown to be largely similar to that described in horses.     

Electrophysiologic studies of the facial reflexes of the dog

Reflexes associated with the trigeminal and facial nerves were investigated electromyographically in 14 barbiturate-anesthetized dogs. Using subcutaneous needle electrodes, electrical stimulation of the infraorbital, frontal, and zygomaticofacial branches of the trigeminal nerve produced reflex contractions of the ipsilateral orbicularis oculi muscle. Cutaneous and subcutaneous electrical stimulation of the internal auricular branches of the facial nerve also produced reflex contractions of the ipsilateral orbicularis oculi muscle. After sectioning of this branch between the vagus and facial nerves, electrical stimulation of the proximal portion of the auricular branch of the vagus nerve produced reflex contractions of the ipsilateral orbicularis oculi muscle. After sectioning of the auricular branch of the vagus nerve; electrical stimulation of the proximal portion of the caudal and middle internal auricular nerves did not produce reflex contractions of the ipsilateral orbicularis oculi muscle. Subcutaneous electrical stimulation of the palpebral nerve produced reflex contractions and direct-evoked muscle activity of the orbicularis oculi muscle. Subcutaneous electrical stimulation of the infraorbital and middle mental nerves produced reflex contractions of the rostral belly of the digastricus muscle.     

Blind versus ultrasound-guided maxillary nerve block in donkeys

Objectives

To describe the ‘blind’ and ultrasound-guided approaches to block the maxillary nerve in donkeys. To compare the success and complication rates between the ‘blind’ and ultrasound-guided techniques based on staining of nerves and other structures in cadavers and assessing level of analgesia in live animals.

A Technique for Examining the External Ear Canal in Standing Sedated Horses

In this study ultrasonography, local anesthesia, and endoscopy were performed in both ears of 23 horses. The aim was to find a reliable technique for examination of the external ear canal in standing sedated horses and to create a grading of debris and the occurrence of abnormalities in clinically healthy horses. Local blockage of the great and internal auricular nerves was performed after caudal palpation at the base of the ear and ultrasonographic assessment of the styloid process of the auricle as a reference point for the needle placement. The otoscopic examination was accomplished with two flexible video endoscopes with 2- and 7-mm tip diameters. The depth of the styloid process varied ultrasonographically from 2.08 to 2.73 cm on the left side and from 2.04 to 2.76 cm on the right side. Local anesthesia was successful in all sedated horses, without any long-term complications. The grading of endoscopic appearance of the skin, epithelium, and ceruminous and cell debris in the cartilaginous and osseous part including tympanic membrane of the equine external ear canal ranged from I to III. Abnormalities like osteoma, granuloma, hemorrhagic or erythematous areas, and narrowing of the osseous part of the external ear canal due to stenosis (exostosis) were seen in 10 of 23 horses. The tympanic membrane was visualized in 20 of 23 horses. Local blockage of the great and internal auricular nerves was found to be a reliable method for equine ear anesthesia.     

Gross anatomy of the accessory nerve and vagus nerve ofthe head and cranial neck region in the Bactrian camel

Seven heads and necks of Bactrian camels were dissected to investigate the origin, course, branches anddistribution of the accessory nerve and vagus nerve in the cranial cervical region. The spinal root and external branch of the accessory nerve were not present, but there was a delicate communicating branch between the dorsal root of the first cervical nerve and the root of the vagus nerve. The sternocephalic muscle was innervated by the second cervical nerve while the brachiocephalic and trapezius muscles were supplied by the sixth and seventh cervical nerves. In the head and cranial cervical region of the Bactrian camel the vagus nerve gave oft the auricular branch, pharyngeal branch, cranial laryngeal nerve, a common trunk to the larynx, oesophagus and trachea, and some communicating branches connecting with the glossopharyngeal, hypoglossal, first cervical nerves and the cranial cervical ganglion.     

Bilateral parotid duct transposition for keratoconjunctivitis sicca in a Connemara stallion

A 7‐year‐old Connemara stallion was presented with a 4 month history of blepharospasm, recurrent corneal ulcerations, mucopurulent ocular discharge, and keratoconjunctivitis sicca (KCS) in both eyes unresponsive to medical therapy. Ophthalmic examination revealed lackluster corneas, axial corneal scarring and pigmentation with associated neovascularization, and absolute KCS in both eyes. Computed tomography scan and endoscopic evaluation of the upper airway and guttural pouches revealed no structural abnormalities to indicate neurogenic KCS. The stallion was diagnosed with immune‐mediated dacryoadenitis as all other causes of KCS were excluded. Parotid duct transposition (PDT) was performed in the right eye followed by PDT in the left eye 4 weeks later. The right PDT was functional 2 years post‐operatively with significant improvement in ocular comfort and reduced corneal fibrosis and neovascularization. The left PDT developed a salivary‐cutaneous fistula over the left masseter muscle post‐operatively due to avascular necrosis of the distal parotid duct (PD). Surgical reconstruction of the PDT using an expanded‐polytetrafluoroethylene (e‐PTFE) tube graft, an e‐PTFE tube graft to autogenous caudal auricular vein graft, and an autogenous saphenous vein graft were all unsuccessful. Tear production in the left eye improved at 1 year post‐surgery as a result of long term lacrostimulant therapy, and a permanent PD‐cutaneous fistula was performed on the left PD at the level of the ventral mandible. Bilateral PDT in the horse is effective in resolving clinical signs associated with KCS; however, morbidity associated with avascular necrosis of the transposed PD may be significant and can result in surgical failure.     

Injection techniques for auricular nerve blocks in the rabbit cadaver

ObjectiveTo describe the landmarks for localization and to determine the methodology and volume of methylene blue dye to adequately stain the auricular nerves in rabbit cadavers.Study designProspective, randomized, cadaveric study.AnimalsA total of 26 rabbit cadavers (Dutch-Belted and New Zealand White breeds).MethodsPart I: anatomical dissections were performed to identify the sensory auricular nerves and to establish the ideal injection approach and volume of dye required for nerve staining. Part II: a single injection technique using 0.1 mL kg^–1 dye was evaluated for staining the greater auricular nerve and two techniques (perpendicular and angled needle approaches) using 0.075 mL kg^–1 dye were evaluated for the auriculotemporal nerve. Dye spread was evaluated through cadaveric dissections and nerve staining graded using a 0–2 point scale. Injections were considered successful if the nerve was stained circumferentially. Cadavers were assessed for staining of the mandibular nerve owing to the close proximity to the auriculotemporal nerve. Fisher’s exact test and mixed effects logistic regression model were used for statistical analysis.ResultsThe greater auricular nerve was stained in 24/27 (88.9%) injections. The auriculotemporal nerve was stained in 7/12 injections (58.3%) with the perpendicular needle approach; staining success increased to 80% (12/15 injections) with the angled needle approach; however, this difference was not statistically significant (p = 0.228). Mandibular nerve staining occurred on seven auriculotemporal injections with no statistically significant difference in the incidence of nerve staining between techniques.Conclusions and clinical relevanceResults suggest that the auricular nerves in rabbit cadavers can be successfully located and stained using anatomic landmarks and the described injection techniques.