title: Surgical management of refractory nasal aspergillosis using iodine cadexomer dressings in three dogs.
abstract: BACKGROUND
  This case series describes surgical management of nasal aspergillosis refractory to conventional medical management or with evidence of cribriform plate osteolysis in three dogs.
  
  
  METHODS
  All dogs had surgical debridement of mucosa, nasal turbinates and necrotic debris via dorsal sinusotomy/rhinotomy. Sinuses were packed with iodine cadexomer-impregnated bandages for several weeks and affixed with tie-over bandages. Bandage changes were performed under sedation in 2/3 cases. Once mature granulation tissue covered all exposed bone, the tie-over bandages were removed and the sinusotomy/rhinotomy closed by apposing the skin edges.
  
  
  CONCLUSIONS
  This technique was well tolerated, effective and afforded a cure in all three patients. It should be considered in cases of cribriform lysis or lack of clinical response to conventional medical management.
authors: Murdoch University, College of Veterinary Medicine, School of Veterinary and Life Sciences, Murdoch, Western Australia, Australia.
authors: T J
authors: http://orcid.org/0000-0003-0813-759X
authors: TJ
authors: Preston
authors: Murdoch University, College of Veterinary Medicine, School of Veterinary and Life Sciences, Murdoch, Western Australia, Australia. g.hosgood@murdoch.edu.au.
authors: G L
authors: GL
authors: Hosgood
authors: Murdoch University, College of Veterinary Medicine, School of Veterinary and Life Sciences, Murdoch, Western Australia, Australia.
authors: Aeh
authors: A
authors: Paul
mesh_terms: D000818:Animals; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001228:Aspergillosis / Q000382:microbiology / Q000601:surgery / Q000662:veterinary*; D001230:Aspergillus / Q000302:isolation & purification; D001458:Bandages / Q000662:veterinary*; D004283:Dog Diseases / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D005004:Ethmoid Bone / Q000473:pathology; D005260:Female; D007466:Iodophors / Q000008:administration & dosage*; D008297:Male; D009668:Nose Diseases / Q000382:microbiology / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D010014:Osteolysis / Q000382:microbiology / Q000601:surgery / Q000662:veterinary
chemical_list: D000891:Anti-Infective Agents, Local; D007466:Iodophors; C038634:cadexomer iodine
keywords: aspergillosis; dogs; iodine cadexomer dressings; rhinotomy; sinusotomy