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Bunny Jaw Problem - Urgent

22 9:51:08

Question
I have a serious dilemma that I would like some guidance on. Recently my bunny developed a bump under her chin which when taken to the vet was identified as a jaw abscess. Since she was also having intestinal blockage due to a hairball we had to hold off on treating the abscess till the blockage was clear. After about 2-3 weeks we took her back to the vet for an x-ray and surgery. The vet told us after the surgery that Lola's (my bun) jaw bone on her left side had been completely eaten away by the infection and all her teeth on that side were also infected, including some on the other.
    The infection created a deep pocket in her jaw that is now being held together by only a small amount of bone composed of damaged tissue. The vet said that this is not fixable: her jaw bone will not grow back because the tissue is too badly damaged, and the hole will always be there meaning constant visits to the vet every 2 -3 weeks to repack the hole (so food can't get in). The vet went on to say that most likely the jaw will crack and the rest of her mouth will also get infected, and that they believe the best thing to do would be to put her down because she'll be in pain all the time, and likely have to go through more surgeries as time passes.
    My question is: Is there any possible way to fix this!? The vet says they cannot fill it with anything, nor do another surgery in that area because they are afraid of breaking the jaw. In the end the choice is ours to make, they said the first two days will be hardest since she is sore from the surgery, so they suggested that we observe her appetite and behaviour for a week before visiting them again. Please we would like to hear some opinions good or bad. If pictures are necessary, we can post the x-ray

- Malika and Christian

Answer
Dear Malika,

I cannot see the bunny, so cannot really assess the situation.  But this is not a good prognosis, in any case.

You might want to find a very rabbit savvy vet:

www.rabbit.org/vets

for a second opinion.  But for now, I would suggest that packing the wound with antibiotic carrier might keep things at bay long enough for things to granulate in and hold the tissues together.  It is not a good situation, but sometimes these can be supported with very aggressive antibiotic therapy.

But again...I am not there to see how extensive the damage is.

I hope you are able to make the right decision in this difficult time.

Dana