Nasal aspergillosis

RE: Nasal aspergillosis

Kay Varley — Sun, 18 Dec 2016 20:47:45 GMT

most welcome. Genuinely couldn't work out how to post the photos without random bits of punctuation in the reply box

RE: Nasal aspergillosis

Virginia Campbell — Sat, 17 Dec 2016 22:56:08 GMT

Thanks for finding that article Kay. I'll show it to the case vets.

RE: Nasal aspergillosis

Kay Varley — Sat, 17 Dec 2016 21:20:12 GMT

RE: Nasal aspergillosis

Kay Varley — Sat, 17 Dec 2016 21:18:39 GMT

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RE: Nasal aspergillosis

Kay Varley — Sat, 17 Dec 2016 21:16:42 GMT

[quote user="Kay Varley"]

I used canesten solution followed by the cream and it worked really well although buying large amounts of it in ASDA was quite embarrassing. There was an article in JSAP a few years ago written by Dick White that explained the technique.

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RE: Nasal aspergillosis

Kay Varley — Fri, 16 Dec 2016 21:21:29 GMT

RE: Nasal aspergillosis

Virginia Campbell — Fri, 16 Dec 2016 10:09:26 GMT

Thanks all, will try to remember to update.

RE: Nasal aspergillosis

Nicola Lawlor — Thu, 15 Dec 2016 22:07:47 GMT

I've tried both the canestan solution soak approach and packing the frontal sinus/nasal cavity with canestan cream without debridement (as I didn't know any different to be honest). I found the solution a lot more difficult to work with and time consuming to do, the cream was far easier to place and feel comfortable that it was where it was needed. I would use the cream again in the future if I was to treat another.

RE: Nasal aspergillosis

Charlie G — Thu, 15 Dec 2016 11:47:38 GMT

Hello, we usually use either 1-2% enilconazole solution or canestan as long as the cribriform plate is ok (if it isn't I think you can use systemic itraconazole or fluconazole)...

RE: Nasal aspergillosis

Andrew Kent — Thu, 15 Dec 2016 06:45:15 GMT

Hi Virginia,

we use enilconazole but I suspect the specific drug doesn't matter.

We treat every 3 weeks until resolution but I agree with Evelyn that debridement is the critical component and the success is dependent on that rather than choice or method of topical.

We debride endoscopically as it allows a much more comprehensive approach than entering the sinus surgically.

They can be very challenging cases!

Andy

RE: Nasal aspergillosis

Evelyn Barbour-Hill — Thu, 15 Dec 2016 00:15:41 GMT

Clotrimazole (Canesten) liquid.

Once a week for at least four weeks.

Personally I think it better to go straight to irrigation with Canesten via the frontal sinus or sinuses.

A more recent thing is to do the irrigation then fill the sinuses up with Canesten cream and let it find its own way out. Seems promising.

I think myself it also improves the prognosis to spend considerable time dislodging the fungal plaques via the endoscope.