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Surgical management of refractory nasal aspergillosis using iodine cadexomer dressings in three dogs
Author(s) -
Preston TJ,
Hosgood GL,
Paul AEH
Publication year - 2016
Publication title -
australian veterinary journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.382
H-Index - 59
eISSN - 1751-0813
pISSN - 0005-0423
DOI - 10.1111/avj.12508
Subject(s) - medicine , surgery , granulation tissue , debridement (dental) , aspergillosis , nose , surgical debridement , refractory (planetary science) , bandage , wound healing , physics , astrobiology , immunology
Background This case series describes surgical management of nasal aspergillosis refractory to conventional medical management or with evidence of cribriform plate osteolysis in three dogs. Methods All dogs had surgical debridement of mucosa, nasal turbinates and necrotic debris via dorsal sinusotomy/rhinotomy. Sinuses were packed with iodine cadexomer‐impregnated bandages for several weeks and affixed with tie‐over bandages. Bandage changes were performed under sedation in 2/3 cases. Once mature granulation tissue covered all exposed bone, the tie‐over bandages were removed and the sinusotomy/rhinotomy closed by apposing the skin edges. Conclusion This technique was well tolerated, effective and afforded a cure in all three patients. It should be considered in cases of cribriform lysis or lack of clinical response to conventional medical management.