Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma

A nine-year-old male European shorthair cat was referred to our practice with severe head trauma after suffering a road traffic accident (RTA). The patient presented marked facial swelling and multiple skin wounds and bruising, inspiratory dyspnea, palpable mandibular and maxillary fractures, serosa...

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Main Authors: Fidel Sanroman-Llorens, Ana Whyte, Pedro Godinho, Enrique Castells, Eduardo Fraga
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fvets.2020.00372/full
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author Fidel Sanroman-Llorens
Fidel Sanroman-Llorens
Ana Whyte
Pedro Godinho
Enrique Castells
Eduardo Fraga
author_facet Fidel Sanroman-Llorens
Fidel Sanroman-Llorens
Ana Whyte
Pedro Godinho
Enrique Castells
Eduardo Fraga
author_sort Fidel Sanroman-Llorens
collection DOAJ
description A nine-year-old male European shorthair cat was referred to our practice with severe head trauma after suffering a road traffic accident (RTA). The patient presented marked facial swelling and multiple skin wounds and bruising, inspiratory dyspnea, palpable mandibular and maxillary fractures, serosanguinolent oronasal discharge and right eye exophthalmos and buphthalmos with loss of menace and pupillary reflex. After stabilizing the patient, a CT scan was performed under general anesthesia and an oesophagostomy tube was placed. The scan revealed the presence of multiple right tympanic bulla fractures. Multiple mandibular, maxillary, and palatine fractures were also present. The cat underwent surgery. Mandibular symphyseal separation and maxillary fractures were stabilized using intraoral cerclage wire fixation reinforced with composite and the right eye was enucleated. The rest of the fractures were treated conservatively. A CT scan 4 months after the trauma was also performed. At this point, the maxillofacial fractures were healing properly, and a bone callus demonstrating fusion of fragments of the right tympanic bulla was evident. There was absence of abnormal content inside the right tympanic bulla. The patient recovered uneventfully with no neurological deficits. To the author's knowledge this is the first case reporting a traumatic tympanic bulla fracture in the cat with case follow up, and the first case reported using CT as diagnostic imaging test.
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spelling doaj.art-2b704facbb6441f485d735b4aa6af6572022-12-22T02:22:02ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-08-01710.3389/fvets.2020.00372547273Traumatic Tympanic Bulla Fracture in a Cat With Severe Head TraumaFidel Sanroman-Llorens0Fidel Sanroman-Llorens1Ana Whyte2Pedro Godinho3Enrique Castells4Eduardo Fraga5Centro Clínico Veterinario de Zaragoza, Zaragoza, SpainSmall Animal Hospital, Zaragoza Veterinariy College, Zaragoza, SpainSmall Animal Hospital, Zaragoza Veterinariy College, Zaragoza, SpainHospital Veterinario Puchol, Madrid, SpainCentro Clínico Veterinario de Zaragoza, Zaragoza, SpainHospital Veterinario Bluecare, Málaga, SpainA nine-year-old male European shorthair cat was referred to our practice with severe head trauma after suffering a road traffic accident (RTA). The patient presented marked facial swelling and multiple skin wounds and bruising, inspiratory dyspnea, palpable mandibular and maxillary fractures, serosanguinolent oronasal discharge and right eye exophthalmos and buphthalmos with loss of menace and pupillary reflex. After stabilizing the patient, a CT scan was performed under general anesthesia and an oesophagostomy tube was placed. The scan revealed the presence of multiple right tympanic bulla fractures. Multiple mandibular, maxillary, and palatine fractures were also present. The cat underwent surgery. Mandibular symphyseal separation and maxillary fractures were stabilized using intraoral cerclage wire fixation reinforced with composite and the right eye was enucleated. The rest of the fractures were treated conservatively. A CT scan 4 months after the trauma was also performed. At this point, the maxillofacial fractures were healing properly, and a bone callus demonstrating fusion of fragments of the right tympanic bulla was evident. There was absence of abnormal content inside the right tympanic bulla. The patient recovered uneventfully with no neurological deficits. To the author's knowledge this is the first case reporting a traumatic tympanic bulla fracture in the cat with case follow up, and the first case reported using CT as diagnostic imaging test.https://www.frontiersin.org/article/10.3389/fvets.2020.00372/fullCTbullafracturecatcase report
spellingShingle Fidel Sanroman-Llorens
Fidel Sanroman-Llorens
Ana Whyte
Pedro Godinho
Enrique Castells
Eduardo Fraga
Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
Frontiers in Veterinary Science
CT
bulla
fracture
cat
case report
title Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
title_full Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
title_fullStr Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
title_full_unstemmed Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
title_short Traumatic Tympanic Bulla Fracture in a Cat With Severe Head Trauma
title_sort traumatic tympanic bulla fracture in a cat with severe head trauma
topic CT
bulla
fracture
cat
case report
url https://www.frontiersin.org/article/10.3389/fvets.2020.00372/full
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