2022.12.06新增 3歲口炎三花貓以牙齦黏膜置換手術(MGRS)治癒

2022/12/06 新增個案
哈魯是一隻從苗栗專程過來本院的米克斯三花母貓，開始在本院進行牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS)治療慢性齒齦口炎(Feline chronic gingivostomatitis, FCGS，以下簡稱口炎)時為3歲，結束治療時為3歲4個月。
 
患貓非常怕痛，來本院就診之前，FCGS已嚴重影響貓咪食慾、頻繁抓嘴巴，他院用類固醇控制口炎症狀與維持食慾，只要一停藥上述症狀就會復發，飼主曾在他院嘗試讓貓咪進行洗牙但無任何改善。
 
因哈魯的飼主不想再使用藥物控制，並且強烈希望能保留牙齒，本院在術前健康檢查，確認血球、肝腎等血液生化指數正常及加驗心臟衰竭指數(NT-pro BNP)確認心臟功能正常，評估可以進行牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS)之治療。
 
哈魯在開始進行牙齦黏膜置換手術(MGRS)治療後，精神食慾立刻出現明顯改善，經過4個月的治療後，成功將患貓口炎完全治療痊癒並保留牙齒，精神、食慾及活力維持良好。
 
貓咪慢性齒齦口炎(FCGS)是常見的貓咪口腔疾病之一，常見的症狀為：

1. 牙齦及口腔黏膜紅腫，甚至潰瘍或增生，口腔所有軟組織，包含牙齦、兩頰舌頭兩側、舌頭下方、嘴角至咽喉部的口腔黏膜都會有紅腫潰瘍或增生。
2. 貓咪會因為口腔疼痛會減少進食，甚至不願意進食，或是吃飯喝水會不斷甩頭、使用前腳撥動嘴巴。
3. 口水因潰瘍多半都有異味，甚至帶有腐肉味。

 
目前普遍的治療多為施打長效型類固醇針劑或是口服類固醇藥劑，搭配抗生素，以及拔牙，但個體治療效果落差較大，且拔牙容易使貓咪口腔塌陷、齒槽骨萎縮，貓咪需要終生服用藥物，無法斷藥。

陳重威獸醫師獨創的牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS)便是希望可以克服上述口炎治療的後遺症及困境，讓患有FCGS的貓咪痊癒後不必長期吃藥，可以恢復病前的正常生活。
 
想看更多本院以牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS) 治癒好的貓咪個案，請參考官網的【MGRS治療貓口炎個案】專區(www.hellopeter.com.tw/contents-4.html)或FB粉專專屬相簿(www.facebook.com/media/set/?set=a.1308046286294231&type=3)
 
2022/12/06 New Patient
“Haru” is a mixed breed calico female cat who specially come to our hospital from Miaoli. She was 3 years old when she started mucogingival replacement surgery (MGRS) for feline chronic gingivostomatitis (FCGS, hereinafter referred to as stomatitis) at our hospital, and she was 3 years and 4 months old when she finished the treatment.
 
The patient was very afraid of pain. Before coming to our hospital, FCGS had seriously affected the patient’s appetite and scratched her mouth frequently. Another hospital used steroids to control the symptoms of stomatitis and maintain appetite, however, the above-mentioned symptoms will recur every time the medicine is stopped. The owner also tried dental scaling in another hospital, but the condition did not improve.
 
Because the owner does not want to use any medicines to control and strongly hopes to save her teeth, we conducted a preoperative blood test to confirm that the complete blood count (CBC), blood biochemistry (such as liver and kidney, etc.), and the heart failure (NT-pro BNP) examination were normal, after that we assessed the patient for mucogingival replacement surgery (MGRS).
 
Haru's spirit and appetite immediately improved significantly after starting the MGRS treatment. After 4 months of treatment, we successfully cured the cat's stomatitis and preserved the teeth, and she maintain a good spirit, appetite and vitality.
 
Feline chronic gingivostomatitis (FCGS) is one of the common oral diseases in cats. The main symptoms are:

1. The gingiva and oral mucosa are red, swollen, ulcers or hyperplasia. All soft tissues in the mouth, including the gingiva and all parts of the oral mucosa (including buccal, lingual, sublingual and oropharynx, etc.), will have redness, ulceration or hyperplasia.
2. Cats will lose their appetite or even refuse to eat because of mouth pain, or they will keep shaking their heads and scratching their mouths with their front feet when eating and drinking.
3. The patient's saliva usually has a peculiar smell, even putrefactive odor, due to ulcers.

At present, the most common treatments are long-acting steroid injections or oral steroids, combined with antibiotics, and tooth extraction, etc., but the effect of individual treatment varies greatly, furthermore, tooth extraction will likely cause the cat's oral cavity to collapse and alveolar bone loss. They need lifelong medication and can't stop it.
 
Dr. Chung-Wei Chen's original Mucogingival Replacement Surgery (MGRS) aims to solve the above-mentioned sequelae and difficulties in the treatment of stomatitis, and make cats with FCGS no longer need to take medicine for a long time after recovery, and return to the normal life they had before the illness.
 
If you want to see more cat patients cured by MGRS in our hospital, please refer to our official website (www.hellopeter.com.tw/contents-4. html) or Facebook fan page album (www.facebook.com/media/set/?set=a.1308046286294231&type=3).
 
哈囉彼得動物醫院 ｜HelloPeter Veterinary Hospital
院長 陳重威獸醫師 ｜Dr. Richard Chen
專欄：【阿威獸醫師的開口啟齒】www.hellopeter.com.tw/contents-3.html
（04）2472-8828
台中市南屯區東興路二段29號｜No. 29, Sec. 2, Dongxing Rd., Nantun Dist., Taichung City 408, Taiwan
醫院官網Website: www.hellopeter.com.tw
門診時間：週一至週五10:00~13:00、15:00~20:30（可預約及現場掛號，牙科為完全預約制），週六可接受預約門診及手術，週日公休。
 
 
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