Use of intranasal povidone-iodine packing in the management of infectious rhinosinusitis in three cats.

IF 0.7 Q3 VETERINARY SCIENCES Journal of Feline Medicine and Surgery Open Reports Pub Date : 2024-11-05 eCollection Date: 2024-07-01 DOI:10.1177/20551169241275303
Paul J Sorrentino, Sandra L MacArthur
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Abstract

Case series summary: Described are three cats diagnosed with rhinosinusitis secondary to Mycobacterium bouchedurhonense, Aspergillus species and Alternaria species, respectively. Medical records were retrospectively reviewed to identify cats with decreased nasal airflow and mucopurulent discharge that failed to improve on antibiotic therapy of 3 months or longer duration. Surgical debridement was followed by nasal packing using 5% povidone-iodine saturated umbilical tape, which was replaced at 24 h postoperatively. At 48 h postoperatively, the rhinotomy site was closed. Systemic therapy continued in the postoperative period. All cases were minimally responsive to previous medical management. History, signalment, clinical signs, diagnostic findings, treatment, and short- and long-term outcomes were retrieved. All cats were middle-aged with outdoor access and had clinical signs that commenced during the summer months. CT revealed turbinate destruction and soft tissue densities within the nasal passages. The otic apparatuses and calvaria were intact in all cats before surgery. A repeat CT examination revealed an improvement of the proliferative tissue identified in preoperative imaging in all cases. All cats achieved successful interruption of nasal discharge and restoration of nasal airflow with follow-up times of up to 16 months postoperatively.

Relevance and novel information: To the authors' knowledge, this is the first report of the use of intranasal povidone-iodine packing in cats for the management of infectious rhinosinusitis. Surgical debridement and intranasal packing in addition to systemic therapy were successful in restoring nasal airflow and resolving nasal discharge in all cats with long-term follow-up.

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使用聚维酮碘鼻内填料治疗三只猫的传染性鼻炎。
病例系列摘要:描述了三只分别被诊断为继发于布氏分枝杆菌、曲霉菌和交替孢霉属的鼻炎的猫。我们对病历进行了回顾性审查,以确定哪些猫的鼻腔气流减弱并伴有粘液脓性分泌物,且在接受 3 个月或更长时间的抗生素治疗后病情仍未好转。手术清创后使用 5%聚维酮碘饱和脐带进行鼻腔填塞,术后 24 小时更换脐带。术后 48 小时,关闭鼻腔切开部位。术后继续进行全身治疗。所有病例均对之前的药物治疗反应轻微。对病史、信号、临床症状、诊断结果、治疗以及短期和长期疗效进行了检索。所有病猫均为中年,可在户外活动,临床症状始于夏季。CT 显示鼻甲受损,鼻腔内软组织密集。手术前,所有猫咪的耳道和颅骨都完好无损。复查 CT 发现,所有病例术前成像中发现的增生组织都有所改善。术后随访时间长达 16 个月,所有猫都成功阻断了鼻腔分泌物并恢复了鼻腔气流:据作者所知,这是首次报道在猫体内使用聚维酮碘填料治疗感染性鼻炎。除全身治疗外,手术清创和鼻内填塞成功地恢复了所有猫的鼻腔气流,并在长期随访中解决了猫流鼻涕的问题。
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来源期刊
CiteScore
1.30
自引率
14.30%
发文量
57
审稿时长
15 weeks
期刊最新文献
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