Vet360 Vol 4 Issue 4 August 2017 Vet 360 - Page 35

DENTISTRY ORAL MASS REMOVAL Dehiscence Probability: Moderate Prevention: Close without suture line tension. Regrowth Probability: Common with incomplete excision Prevention: 1. Perform fine-needle aspiration cytology before surgi- cal excision to help determine malignancy and plan surgical margins. 2. Perform computed tomography or cone beam com- puted tomography before surgery to plan surgery with clean margins (Figures 8A-8D). Possibility of further oncologic treatment needed Probability: Moderate in cases of malignancy Prevention: Before surgery, mention to the client the probability of radiation therapy in those masses that are responsive. Consider discussing these very rare adverse outcomes with clients who you think need to know more: GENERAL ANAESTHESIA Vision loss Probability: Extremely rare Usually attributed to anoxia or very low blood pres- sure during or immediately after the procedure. Lameness Probability: Rare Older animals and those with disk disease or arthritis may become lame secondary to prolonged positional changes. Trachea rupture, subcutaneous emphysema Probability: Rare, primarily in older cats To prevent this complication, be careful not to over- inflate the endotracheal cuff, and disconnect the Figure 8A. An oral mass involving the rostral maxilla. Figure 8C. Three-month rostral regrowth of the tumor. Figure 8B. Removal of the mass (osteosarcoma) with clean distal sur- gical margins only. Figure 8D. Five-month continued regrowth. Issue 04 | AUGUST 2017 | 35