History
- An 12 years old female dachshund was presented with facial swelling with mouth bleeding.
- No respiratory manifestations or GIT disturbances.
With Manual examination
- Right molar and premolar teen and gum invasion in addition to hard palate irregularities caused by the swelling.
Computed Tomography, CBC & Biochemistry Profile
- With CT, A poorly defined mass associated with aggressive osteolysis of the right maxilla bone and zygomatic arch.
Decision
- Radical maxillectomy is recommended in cases in which the tumor has a safe distant from the cribiform plate which separates the nasal cavity from the cranial cavity.
- In our case, No safe distant exists, so, euthanasia is recommended in case of respiratory manifestations or swallowing obstruction.
- Depending on the owner decision to remove the reachable parts of the tumor, Surgical excision of the tumor and involved parts was performed.
Procedures
- Surgical total removal of the maxillary part of the tumor,
- Surgical removal of osteolytic maxillary bone
- Affected teeth removal was performed
- Cosmetic wound closure
- Taking sample for histopathological examination
Postoperative Care
- Administration of suitable antibiotic and NSAID.
- Soft food for at least one week
- Nose edema and epistaxis postoperative care by Steroids administration with tapering and suction of accumulated bloody fluids by infantile automatic suction machine.
- Follow up one week after surgery showed complete disappearance of snoring and nasal edema with normal respiratory function.
Histopathological results
- Malignant Melanoma
