aftermath of ruptured sialocoele

Re: aftermath of ruptured sialocoele

Tim Charlesworth — Mon, 17 Nov 2014 12:35:59 GMT

If the cat had a sialocele secondary to damage/obstruction/FB then it will probably recur if the inciting cause is still present. If the cause has gone or the responsible salivary gland atrophied then the cat may get away with it. People used to marsupialise sublingual rannulae but this is associated with a high recurrence rate which I would presume applies to your patient's scenario. I would warn the owner to expect recurrence in which case you will have to remove the salivary gland but say that there is a chance that this won't be necessary.

No hard and fast rules!

Tim

Re: aftermath of ruptured sialocoele

Niall Taylor — Sun, 16 Nov 2014 14:14:24 GMT

n=1 but I had a case some time ago where the salivary cyst had become infected and basically exploded half its face when it ruptured. Much panic and shedloads of antibiotics and the thing settled into a substantial hole with a continual leak of clear, sticky saliva down the side of its face.

I suggested they come back in a week or two for me to check it and started reading up about the fiddly surgery required to excise such things, particularly difficult as it was surrouded by copious amounts of scar tissue.

When they finally came back - after nearly a year - it was about a sore leg, they had forgotten all about the cyst! To look at the dog you would never have known there had ever been a problem, not even any visible scars.

It never fails to astound me how some incredibly awful-looking things will heal given enough time.

Cheers,

Niall

Re: aftermath of ruptured sialocoele

james herriot lied — Fri, 14 Nov 2014 20:25:54 GMT

Is this going to end up as some sordid expose of your furtive fumblings in the back room of the practice?

Again.

Re: aftermath of ruptured sialocoele

Martin Atkinson — Fri, 14 Nov 2014 18:43:28 GMT

[quote user="james herriot lied"]As a foil to last week's sublime moment of a cat snorting up a grass blade.....Sure enough, it was a response to a suspected sialocoele [/quote]Just to combine the two: I had a dog a few months ago which presented with recurrent submaxilliary swelling that had been treated by its previous vet with several courses of antibiotics. It eventually developed a discharging fistula. I explored the mass and discovered it was a pretty knackered looking submaxilliary salivary gland with a fragment of grass inside it. I excised it with its duct as far as I could trace it.

Whether it would have recovered and the fistula healed if I just removed the foreign body and sewn it up I don't know. There was no previous history of an external wound so presumably this grass blade had found its way into the salivary duct and worked its way up.

Re: aftermath of ruptured sialocoele

Evelyn Barbour-Hill — Fri, 14 Nov 2014 18:11:01 GMT

[quote user="james herriot lied"]

Anybody?

[/quote]

Well, rupture probably should be curative, and I can't remember seeing any recur.

In other words, I don't know

Re: aftermath of ruptured sialocoele

james herriot lied — Fri, 14 Nov 2014 18:00:35 GMT

Anybody?