Open-mouth jaw locking in a 5-year-old Persian cat: a case report

Vet Res Commun. 2024 Dec;48(6):3975-3980. doi: 10.1007/s11259-024-10535-5. Epub 2024 Sep 12.

Abstract

Open-mouth jaw locking is an uncommon condition in feline patients. A 5-year-old neutered male Persian cat was evaluated for an acute inability to close its mouth and ptyalism. The general physical examination was unremarkable. A complete oral examination revealed a reduced vertical range of motion, as well as an asymmetric malocclusion with severe displacement of the mandibles to the left. Advanced diagnostic imaging included computed tomography (CT), which revealed a typical brachycephalic conformation, skeletal malocclusion and a bilateral temporomandibular joint (TMJ) subluxation, with the left coronoid process of the mandible abnormally positioned ventrolateral to the zygomatic arch. The open-mouth jaw locking was manually reduced and resolved. Once the coronoid process was repositioned, a second CT scan was performed and confirmed complete reduction of the TMJ subluxation. Supportive treatment with meloxicam was administered and a loose-fitting tape muzzle and Elizabethan collar were applied for two weeks. There was no recurrence of open-mouth jaw locking at long-term follow-up. This case report highlights the relevance of CT imaging and 3-dimensional reconstruction in the diagnosis of this unusual condition.

Keywords: CT scan.; Cat; Dentistry; Inability to close the mouth.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Cat Diseases* / diagnosis
  • Cat Diseases* / diagnostic imaging
  • Cats
  • Male
  • Malocclusion / diagnostic imaging
  • Malocclusion / veterinary
  • Meloxicam / therapeutic use
  • Temporomandibular Joint Disorders / diagnostic imaging
  • Temporomandibular Joint Disorders / veterinary
  • Tomography, X-Ray Computed / veterinary

Substances

  • Meloxicam