Pug Nasal Fold Surgery opinions

RE: Pug Nasal Fold Surgery opinions

Richard Carter — Fri, 07 Oct 2016 17:50:49 GMT

I would go for complete removal - sharp scissors and close nylon as mentioned above on the basis the local conditions are causing the pseudomonas persistence

anyone tried the yogurt in the ears yet - have heard it being used in countries where abs not so freely available for humans let alone the animals.

RE: Pug Nasal Fold Surgery opinions

grumpyoldman — Fri, 07 Oct 2016 16:46:33 GMT

I would move enough of the fold ,about 50%, to eliminate the hot sticky environment ,the "skin gutter" and alleviate the trichiasis . Melanosis in these can be significant you may also consider a medial canthotomy to improve tear film distribution reduce the palpebral fissure size and blink coverage , Cryotherapy to reduce the melanosis, Even at 12 months the keratitis is sometimes so bad you need other ways to keep and improve the corneal wettability afterwards.Also worth checking for other adnexal problems, ulcers often flag cilia or distichia.

RE: Pug Nasal Fold Surgery opinions

James Dunne — Fri, 07 Oct 2016 14:38:44 GMT

Hi Glenn

I would welcome input from more experienced surgeons, but I suspect that the reason there is a MDR Pseudomonas present is that the fold is present. If you excise the fold and use monofilament sutures, The risk of a severe postoperative infection should be small enough and once the region is properly aerated and the skin environment healthier, any residual pseudomonas should disappear. Your plan seems reasonable; you may be able to do everything as a primary surgery though.

RE: Pug Nasal Fold Surgery opinions

David Mills — Fri, 07 Oct 2016 14:10:49 GMT

I've seen these tacked before (bit like entropion in growing animals), allow the ulcer to heal and then resect the folds.

Agree in a youngish dog surgery would be my approach to fix the issue, otherwise you're looking at long-term medical therapy, inevitable recurrences/lapses/client frustrations.