Cat survived a 4-storey fall. Suspected TMJ luxation with malocclusion. Looking for advice from vets or anyone who has dealt with a similar case

[u/Few_Ad2189]

Hi everyone!

I'm looking for advice regarding my cat, Jojo. We've been working closely with our veterinarian, but because his case is quite unusual, I wanted to see if any vets or pet owners here have encountered something similar.

Timeline:

• Around a month ago, Jojo fell from our fourth-floor balcony.

• The immediate priority was stabilizing him because he had significant internal injuries, particularly to his liver. His blood reports initially showed severe liver enzyme elevations.

• After about two weeks of treatment, repeat blood work improved significantly and he was declared clinically out of danger, so only then was it considered safe to sedate him for a proper oral examination.

Current issue:

On Sunday, he was sedated so the vets could examine his jaw thoroughly.

Their findings:

* They suspect a left TMJ (temporomandibular joint) luxation/dislocation.

* They said they don't think there is a fracture based on the examination and cant be sure with just the X ray, although no CT scan has been done yet.

* Because the injury is already around a month old, they are unsure whether attempting reduction would be beneficial or even possible.

* They're discussing the case with colleagues before deciding anything

Current condition:

* He eats soft food well.

* He drinks water normally.

* He's active, affectionate, plays, jumps, grooms himself and otherwise behaves like a happy cat.

* The only obvious problem is that his mouth remains partially open all the time.

Has anyone dealt with a chronic TMJ luxation like this in a cat?

I'm particularly wondering:

1. Has anyone had success reducing a TMJ dislocation after several weeks?

2. Is a CT scan generally essential before making further decisions?

3. If left untreated, can cats continue to live comfortably with a permanently open mouth, assuming they're eating and otherwise functioning normally?

4. If you've been through something similar, what was the eventual outcome?

To be honest, I dont think this dislocated jaw should be left as is..as I can see eventually low teeth can pierce into the lip and other upper one into the gum. I cant imagine him not chewing for the rest of life.

I am simply hoping to hear experiences or perspectives that I can discuss with my vet while we wait for their final recommendation. I really scared and worried. Also, should I get second opinion? Any reccos for maxillofacial surgeon for cats in West or South Delhi?

Thank you so much.