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Bigote the Rabbit

Bigote is a 1 year old male neutered rabbit that presented for lethargy, drooling and inappetance. He was in slightly thin body condition and had a swelling on his right mandible (jaw).The skin on the right side of his face was also irritated due to the moisture from constant drooling. He was on a diet of mostly pellets, carrots and apples.

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Bigote is getting sedated for his procedure.

He had received injections of the tranquilizers domitor and ketamine. He is now being placed on oxygen.X-rays were taken and showed osteomyelitis of the cheek teeth on the right upper arcade. There was also a soft tissue density swelling associated with the right upper arcade. It was suspected that Bigote had a dental abscess and infection in the roots (reserve crown) of his upper right cheek teeth. It was recommended that Bigote be sedated for a thorough oral exam, dental work and abscess surgery.

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Ventrodorsal radiograph: showing a soft tissue swelling on the right side of the jaw and some bony destruction of the left maxilla

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Lateral projection: showing very elongated roots (reserve crown) in the maxilla

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Bigote being prepped for surgery: The area of the surgery was clipped and aseptically prepared.

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The surgical area is draped with a clear sterile drape to aid in visualization and to maintain a sterile surgical field.

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An incision was made over the soft tissue swelling on Bigote’s mandible (jaw).

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Thick caseous pus and tissue is removed from the abscess.

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Bigote Flush: The abscess is flushed thoroughly with saline to remove all the pus and residual debri.

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A few sutures are placed in the periphery of the surgery site in a technique called marsuplization.

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The area is left open to drain.

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A thorough dental exam is performed using an endoscope. Abnormal teeth were filed and sharp points (spurs) were removed.

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Bigote recovered very well after surgery. He was given pain medications and oxygen support until fully awake.bigote-3weekspost.preview.jpg

3 weeks post-surgery: the abscess site is now smaller and had very little pus.

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3 weeks post-surgery: Bigote’s owners have been flushing the small opening with a disinfectant (chlorhexidine) twice daily.

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5 weeks post- surgery: Bigote’s abscess is almost completely gone. The swelling has completely disappeared and only a small scab is left.

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8 weeks post-surgery:: Bigote- perfect again! Bigote is now eating lots of hay to prevent future dental problems.






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