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− | {{review}} | + | {{review}} [[:Category:Tongue - Pathology|See also Tongue Traumatic Pathology]] |
− | [[:Category:Tongue - Pathology|See also Tongue Traumatic Pathology]] | + | |
− | ==Signalment== | + | == Causes == |
− | * Usually young animals that play or chew with cables. | + | |
− | ==Description==
| + | *Lacerations e.g. tin cans, cat fights |
− | Can be thermal, chemical, or electrical in aetiology and can involve the lips, buccal mucosa and palates as well as the tongue. The injuries sustained vary from mild to severe. Linear scars appear from electrical cable chewing along with discolouring of teeth and burns at the side of the mouth. Ulceration may appear following ingestion of caustic substances
| + | *Penetrating foregin bodies e.g. sticks or bones |
− | ==Diagnosis== | + | *Linear foregin bodies e.g. string |
− | ===History=== | + | *Electrical burns e.g. from chewing electrical cable |
− | *Cat fight | + | *Chemical burns e.g. from caustic agents |
− | *Seen playing with or eating a foreign body | + | *Damage due to infection e.g. feline herpes, panleukopanenia, calicivirus, fungal or necrotising stomatitis |
− | *Chewing electric cables | + | *Damage due to glossitis caused by azotaemia |
− | *ingestion of caustics | + | *Macroglossia- if too large may become traumatised by teeth etc (common in brachycephalics)<br> |
− | ===Clinical Signs=== | + | |
− | *drooling saliva | + | == Diagnosis == |
− | *reluctance to eat | + | |
− | *bleeding | + | === History === |
− | *pawing at mouth | + | |
| + | *Cat fight |
| + | *Seen playing with or eating a foreign body |
| + | *Chewing electric cables |
| + | *ingestion of caustics ETC |
| + | |
| + | === Clinical Signs === |
| + | |
| + | *drooling saliva |
| + | *reluctance to eat |
| + | *bleeding |
| + | *pawing at mouth |
| *secondary infections | | *secondary infections |
− | ===Definitive Diagnosis===
| |
− | Inspection under a general anaesthetic making sure to check under the tongue for foreign bodies.
| |
− | ==Treatment==
| |
− | *'''Caustic chemicals''': exagerated flushing of the mouth with water.
| |
− | *'''Lacerations''': Primary or secondary repair with or without debridement.
| |
− | *'''General''': Antibiotics, palliative treatment aimed at reducing oral discomfort including anti-inflammatory drugs, mainly corticosteroids. Assisted feeding (Naso-oesophageal, oesophageal, ventricular or enteral) should be used if normal feeding cannot be maintained.
| |
− | ==Prognosis==
| |
| | | |
− | ==References== | + | === Definitive Diagnosis === |
− | Tutt, C., Deeprose, J. and Crossley, D., (2007) '''BSAVA Manual of Canine and Feline Dentistry (3rd Edition)''' ''BSAVA'' | + | |
| + | Inspection under a general anaesthetic making sure to check under the tongue for foreign bodies. |
| + | |
| + | |
| + | |
| + | == Treatment == |
| + | |
| + | *'''Caustic chemicals''': exagerated flushing of the mouth with water |
| + | *'''Lacerations''': Primary surgical repair or second intention healing with sloughing +/- debridement |
| + | *'''Amputation''': if severe injury. Animals can function very well with 40-60% of the rostral tongue amputated |
| + | *'''General''': Antibiotics, palliative treatment aimed at reducing oral discomfort including anti-inflammatory drugs, mainly corticosteroids. Assisted feeding (Naso-oesophageal, oesophageal, ventricular or enteral) should be used if normal feeding cannot be maintained<br> |
| + | |
| + | == Prognosis == |
| + | |
| + | Dependent on cause and severity. <br> |
| + | |
| + | == References == |
| + | |
| + | Ettinger, S.J., Feldman E.C. (2000) Textbook of Veterinary Internal Medicine 5th Ed |
| + | |
| + | Fossum, T.W. (2002) Small Animal Surgery |
| + | |
| + | Tutt, C., Deeprose, J. and Crossley, D., (2007) BSAVA Manual of Canine and Feline Dentistry (3rd Edition) ''BSAVA'' |
| + | |
| + | |
| | | |
− | Merck & Co (2008) '''The Merck Veterinary Manual'''
| + | To_Do_-_Review [[Category:Tongue_-_Pathology]] [[Category:Oral_Diseases_-_Dog]] [[Category:Oral_Diseases_-_Cat]] |
− | [[Category:To_Do_-_Clinical]][[Category:Tongue_-_Pathology]][[Category:Oral Diseases - Dog]]
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− | [[Category:Oral Diseases - Cat]] | |