Dz Of The Oral Cavity And Esophagus Flashcards
What is the incisive papilla?
It’s not a tumor, it’s little bump on the roof of the mouth that communicates with vomeronasal organ and part of olfactory senses in the dog and cat
Where is the molar salivary gland in cats?
Caudal aspect at the end of the row of bottom teeth
Canine Oral Papillomatosis
Caused by papilloma virus in dogs
Transmission via saliva, 1-2 mo incubation
Cauliflower masses on lips, muzzle, and gingiva
Will go away as pumps immune system matures but may need surgical intervention or crushing (stimulates the immune response to get them to go away)
Epiludes- Odontogenic neoplasm
Where are they from, are they benign/malignant, where are they located, what do the feel like, symptoms, signalment
From periodontal ligaments (mostly dogs) Benign On gingiva near teeth (esp incisor) Firm and irregular \+/- symptomatic Older dogs Breed: any, Shelties + old English
Peripheral Odontogenic fibroma
Fibroma toys and ossifying epulis
Non invasive, solitary, might be peduncle tend, non-ulcerated
Sx is curative
Acanthomatous Ameloblastoma
Invasive +/- bone destruction
Often needs large resection including bone to be curative
+/- radiation therapy
They’re benign in the sense that they don’t met but are highly invasive
What is the #1 malignant oral mass in dogs?
Malignant melanoma
2/3 are pigmented, 1/3 unpigmented
Mets to LN and lung common
What is the #1 malignant oral mass in the cat?
SCC
Ulcerative, erosive lesion
What does oral fibrosarcoma look like
Firm and smooth, +/- nodules
Eosinophilic Granuloma complex
Signalment
Where do they occur
Cat of any age
Plaque- not on face
Granuloma- lip or chin swelling
Indolent ulcer- ulcers of the mouth
Do you put a cat with EGC on Depomedrol? How do you tx EGC
Nope, can induce diabetes
Put on food trial with tapering steroids, flea control, pain mgt, tx 2ndary inf
Is gingivastomatitis painful?
Which animal is most likely to get it and what is it?
Where does it start? What can it be associated with?
Yep, very painful Felines are more likely to get it It's the abnormal immune response to plaque It starts around a tooth and extends It can be associated with FIV
CS of gingivastomatitis
Oral pain but still hungry Ptyalism +/- blood Halitosis Weight loss Dysphasia Head shy
Dx of gingivostomatitis
Cbc/chem/UA/ felv/FIV
Oral exam
Gingival biopsy @ dental cleaning
Tx of gingivostomatitis
Medical mgt w/ oral hygiene control
-periodontal tx, brushing, immune mod meds like pred
Full mouth extractions +/- meds after
Big clinical sign for pharyngeal dz
Voice change- meow or bark
CS for Nasopharyngeal Polyps
Difficulty swallowing
Nasal discharge
Stertor
Why do nasopharyngeal polyps occur?
Inflammatory response- possibly to viral organism
Arises from middle ear
Penetrates into nasopharynx or penetrates ear drum
Tx for nasopharyngeal polyps
General traction removal
Ventral bullae osteo tony
Excellent px w/ removal though possible recurrence
1 salivary gland disorder in dogs
Salivary mucocele
What is sialocele and where can they be located?
Accumulation of saliva in the submucosal or sq tissue 2ndary to trauma or inflammation
Location: cervical (#1), ranula (under tounge), pharyngeal & zygomatic (rare)
Where are the swelling locations for sialocele?
Parotid: below ear
Mandibular: angle of jaw
Zygomatic: caudal to eye +/- retrobulbar swelling
Swallow phases for oral, pharyngeal and esophageal
Oral CN 5,7,12
Pharyngeal CN 9, 11
Esophageal CN 9, 10, SNS
What breeds are predisposed to cricopharyngeal achalasia/dysphagia
Cocker and springer spaniels
CS for cricopharyngeal achalasia/dysphagia
Repeat attempt to swallow, followed by gag and regurgitation
What can esophageal stricture be secondary to
Trauma
Neoplasia
Post foreign body
Post anesthesia
Tx for esophageal strictures
Balloon, sometimes up to 3 times
What is vascular ring anomaly, where is it located and what’s the number 1 spot? Species and breeds?
Development abnormality
3rd, 4th, 6th aortic arch - abnormal vessel entrapement the thoracic esophagus
#1 = persistent right aortic arch
Dog>cat
Breeds: Boston, Irish setter, GSD, Persian, Siamese
What’s the difference between type 1 and type 2 hiatal hernia
Type 1: sliding- intermittent displacement of LES and gastric fundus into thorax
Type 2: gastric fundus displacement only
Breeds predisposed to HIatal Hernia
Share pie
Bull dogs- English and French
