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Partial Resection of Maxillary Ossifying Fibroma in a Thoroughbred Stallion

  • Lee, Sang-Kyu (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Seoul National University) ;
  • Kim, Byung Hyun (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Luong, Richard (IDEXX Laboratories) ;
  • Jung, Bok-Sun (KRA Equine Hospital, Korea Racing Authority) ;
  • Im, Hyung-Ho (KRA Equine Hospital, Korea Racing Authority) ;
  • Lee, Jeonghun (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Im, Eo-Jin (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Lee, Inhyung (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Seoul National University)
  • Received : 2018.01.27
  • Accepted : 2018.06.08
  • Published : 2018.06.30

Abstract

A 5-year-old Thoroughbred race horse was presented to Busan Korea Racing Authority equine hospital with a 3-year history of a slow-growing left rostral maxillary mass. The location and progressive growth of the mass eventually resulted in poor food prehension, quidding and mouth bit placement. The mass was solitary and hard, and covered by normal smooth oral mucosa. Radiographic examination of the maxillae showed a flocculated and mixed radiolucent lesion protruding outward and displacing the 202 and 203 teeth caudally. The 202 tooth was in normal size and the 203 tooth was hypoplastic on radiography. Under general anesthesia, a partial surgical resection of the mass was performed to minimize functional loss and facilitate prompt return to track. After surgery, there was improvement in food intake, mouth bit placement, and cosmetic appearance. Histopathological examination determined the resected maxillay mass to be an ossifying fibroma. However, there was continued growth of remnant mass in the maxilla. Equine ossifying fibroma is a rare condition and primarily affects the rostral mandible, and less commonly, the maxillae. In this case, the lesion was slow-growing, and caused cosmetic and functional impairments, including poor food intake and reduced trainability. Surgical resection was performed, but the effect of treatment was limited due to advanced size / stage of the tumor. Early dental care is suggested for horse owners to prevent belated identification and improve successful treatment of oral disorders like ossifying fibroma.

Keywords

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