Piezosurgical partial ostectomy of the incisive bone for an ossifying fibroma removal in a 4-year-old Warmblood gelding
Abstract
Background: Ossifying fibromas are uncommon in horses and complete surgical excision with premaxillectomy, maxillectomy or mandibulectomy is recommended. Piezosurgery has been previously used in equines only in one study.
Objective: To report a case of ossifying fibroma treated with piezosurgery and to describe its follow-up.
Study design: Clinical case report.
Methods: A 4-year-old Zangersheide gelding was presented for a mass occupying the space of tooth 202. Histology confirmed the diagnosis of ossifying fibroma, which was removed by resection of soft tissues and a slice of the premaxilla with a piezotome. First intention closure was achieved with a U-plasty between the soft palate and the gingiva. Afterwards, histology confirmed complete removal of the mass.
Results: At 5 months, the horse did not show signs of recurrence. Surgery was easy to perform with the piezotome and the cosmetic result was excellent.
Conclusion: Piezosurgery is a feasible technique for oral surgeries in horses, although more prospective studies are required.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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