Nasal Disease: Surgical Approach to the Nasal Cavity Flashcards
The most frequent tumour to affect the nasal planum is the
SCC
Are dogs or cats nasal planum tumour more likely to need surgery as more invasive on presentation?
Dogs
Where do nasal planum tumours often originate in dogs?
Nasal vestibule
How to perform diagnostic biopsies of nasal planum?
- Scalpel slice
- Punch
Normal met site of SCC of the nasal planum?
LN
The prognosis for tumours that have metastasised to the lymph node?
May be guarded
If a SCC has met to the LN, what other met check needed?
Thorax (xray vs ct)
Treatment options in SCC in cats (superficial) (3)
- Photodynamic
- Strontium
- Curettage with cautery
Define deep nasal tumour?
> 5mm
Tx for deep nasal lesion?
Nasal planectomy
How to mark histo edges for the pathologist?
Indian ink
What blood test should be performed before nasal surgery?
Coagulopathy
Pre op planning with planectomies; what should be included? (3)
- Blood profiles and BMBT
- MRI scan unless very superficial lesion (most dogs require advanced imaging, cats are usually more superficial)
- Lots of owner preparation (particularly if young children in the family).
For clean surgical margins of? is usually sufficient.
a 1 cm
Nasal planectomy; nerve blocks?
infra orbital