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Caudal inferior alveolar nerve block in a Bennett’s wallaby ( Macropus rufogriseus )
Author(s) -
Ho Nicola Tian Zhi,
Morgan Rhian Emma,
Bolt David M,
Hawkins Alexander Eric,
VeresNyéki Kata Orsolya
Publication year - 2020
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2020-001282
Subject(s) - medicine , inferior alveolar nerve , mandible (arthropod mouthpart) , anatomy , osteomyelitis , foramen , surgery , orthodontics , molar , botany , biology , genus
A Bennett’s wallaby ( Macropus rufogriseus ) was referred for diagnostic imaging and further investigation into suspected progressive pyogranulomatous osteomyelitis of the mandible. This diagnosis was confirmed via CT and CT‐guided fine‐needle biopsies of the right mandible, and surgery was performed to remove the affected teeth and treat the associated bone. The right inferior alveolar nerve was targeted using a lateral approach with the needle directed medially in a rostro‐ventral direction into the masseteric foramen using bupivacaine hydrochloride 0.6 mg/kg. To the authors’ knowledge, the inferior alveolar nerve block has never been reported in this species, and the lateral approach via the masseteric foramen is novel, considering that the nerve is usually targeted at the medial aspect of the mandible. Surgical treatment of pyogranulomatous osteomyelitis is likely to be associated with significant pain, and the use of a locoregional technique to provide regional anaesthesia would complement the provision of balanced, multimodal anaesthesia.