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牙齦黏膜置換手術(MGRS)治療貓狗口炎個案
2023.03.02新增  1歲10個月的母黑貓以牙齦黏膜置換手術(MGRS)治癒口炎(FCGS),沒有拔牙!
2023-03-02
2023.03.02新增  1歲10個月的母黑貓以牙齦黏膜置換手術(MGRS)治癒口炎(FCGS),沒有拔牙!
2023.03.02 New patient: a 1 year and 10 months old female black cat was cured of feline chronic gingivostomatitis (FCGS) by Mucogingival Replacement Surgery (MGRS) without extraction


黑嚕嚕是一隻混種母黑貓,有皰疹病毒(Feline Herpesvirus, FPV)帶原,由台北的友院介紹飼主帶來本院接受陳重威醫師的牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS),開始治療時是1歲6個月,牙齦黏膜置換手術(MGRS)療程結束時1歲10個月。
 
患貓在2歲之前就有嚴重的貓慢性齒齦口炎(Feline chronic gingivostomatitis, FCGS),屬於比較罕見的個案,紅腫部位從鼻吻部、舌下一直蔓延到咽喉處,病患因疼痛導致食慾減退、流口水、脫毛、體重減輕,因為會被家中的其他貓咪欺負,患貓常常會躲起來,不願意親近人。
 
飼主希望能夠保留牙齒,因此本院決定採用牙齦黏膜置換手術(MGRS)為患貓治療,經過4個月治療後,患貓的慢性齒齦口炎(FCGS)已完全痊癒,陳重威醫師將患貓的所有牙齒保留住,沒有拔牙,貓咪重新長出漂亮的黑色長毛,食慾良好,體重從2.35kg上升至3.1kg,開始願意親近人,能夠過正常的生活,治癒後不需要打針吃藥維持。
 
特別感謝台北的友院轉介本個案前來本院治療。
 
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)

 
2023.03.02 New patient: a 1 year and 10 months old female black cat was cured of feline chronic gingivostomatitis (FCGS) by Mucogingival Replacement Surgery (MGRS) without extraction
 
“Hei-Lu-Lu”(the word mean ”pitch black”) is a mixed breed female balck cat and she is a carrier of Feline Herpesvirus (FPV), the owner came to our hospital to receive Mucogingival Replacement Surgery (MGRS) by Dr. Chung-Wei Chen (Richard Chen) after being introduced by an animal hospital in Taipei, she was 1 year and 6 months at the start of treatment and 1 year and 10 months at the end of MGRS.
 
The patient had severe feline chronic gingivostomatitis (FCGS) before the age of 2 years, which is rare, the red and swollen area spread from the snout, sublingual area to the oropharynx, the patient suffered from loss of appetite, drooling, shedding, and weight loss due to the pain, because she will be bullied by other cats in the family, she often hides and is unwilling to approach people.
 
Because the owner wants to keep the teeth, we decided to use MGRS to treat the patient, after 4 months of treatment, her FCGS has been completely cured, and Dr. Chung-Wei Chen (Dr. Richard Chen) managed to keep all her teeth without extraction, she has grown beautiful black long hair again, has a good appetite, the weight has increased from 2.35kg to 3.1kg, and she began to be close to people, she is now able to lead a normal life and does not need medication to maintain her condition after recovery.
 
We are very grateful to this animal hospital in Taipei, they introduced patients to our hospital for treatment.
 
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.youtube.com/@DrRichardChen_vet
(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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