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SURGICAL MANAGEMENT OF A
SALIVARY CYST IN A DOG
Kaavya Sudhakar,
IV B. V. Sc. & A. H.
Department of Veterinary Surgery and Radiology,
Rajiv Gandhi Institute of Veterinary Education and Research (RIVER),
Puducherry.
INTRODUCTION
 Salivary cyst- Accumulation of
saliva in the gland or duct (lined
by glandular tissue that secretes
the saliva)
Sialoliths- deposition of mineral
salts around a nidus of bacteria,
mucus or desquamated cells
SIGNALMENT:
 Species: Canine
 Breed: Mongrel
 Sex: Female (Intact)
 Age: 7 months
 Weight: 12 kg
ANAMNESIS:
 Swelling on the left lateral
aspect of the mandibular angle
for 4 months
 Observed within a few days of
being bitten by a dog at the site
CLINICAL
EXAMINATION
 GA: NAD
 BH: Active
 FH: NAD
 VH: NAD
 RT: 102.2 ºF
 PLN: Palpable
 Palpation: Soft
: Evinces pain
Fine needle aspiration
Ultrasonography
HAEMATOLOGY
PARAMETER RESULT
Hemoglobin 12 g/dL
PCV 40 %
TLC 6 x 103 cells/µL
DLC Neutrophils 50 %
Lymphocytes 45 %
Monocytes 2 %
Eosinophils 3 %
Blood parasites Negative
Sedation:
Ketamine @ 5 mg/kg I/V
Xylazine @ 1 mg/kg I/V
SURGICAL PROCEDURE
The edges of the capsule of the gland and the subcutis were sutured
with Polyglactin 910- 0 in the inversion and simple continuous pattern
respectively
Staples:
Length: 6.4 mm
Width: 4 mm
Diameter: 0.57 mm
POST OPERATIVE CARE
DRUG ROUTE DOSE RATE
Cefpodoxime I/V
10 mg/kg for
7 days
Serratiopeptidase PO
10 mg/kg for
3 days
NUTRICH PO
1 tab OD for
5 days
Day. 12
CONCLUSIONS
 Fine needle aspiration only temporarily reduced the size of
the swelling. Recurrence was observed.
 No recurrence was observed after surgical excision of the
gland and removal of the sialoliths
 Usage of staples proved to be satisfactory
 Uneventful recovery
2 ½ months

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Salivary gland cyst

  • 1. SURGICAL MANAGEMENT OF A SALIVARY CYST IN A DOG Kaavya Sudhakar, IV B. V. Sc. & A. H. Department of Veterinary Surgery and Radiology, Rajiv Gandhi Institute of Veterinary Education and Research (RIVER), Puducherry.
  • 2. INTRODUCTION  Salivary cyst- Accumulation of saliva in the gland or duct (lined by glandular tissue that secretes the saliva) Sialoliths- deposition of mineral salts around a nidus of bacteria, mucus or desquamated cells
  • 3.
  • 4. SIGNALMENT:  Species: Canine  Breed: Mongrel  Sex: Female (Intact)  Age: 7 months  Weight: 12 kg ANAMNESIS:  Swelling on the left lateral aspect of the mandibular angle for 4 months  Observed within a few days of being bitten by a dog at the site
  • 5.
  • 6. CLINICAL EXAMINATION  GA: NAD  BH: Active  FH: NAD  VH: NAD  RT: 102.2 ºF  PLN: Palpable  Palpation: Soft : Evinces pain Fine needle aspiration
  • 8. HAEMATOLOGY PARAMETER RESULT Hemoglobin 12 g/dL PCV 40 % TLC 6 x 103 cells/µL DLC Neutrophils 50 % Lymphocytes 45 % Monocytes 2 % Eosinophils 3 % Blood parasites Negative
  • 9. Sedation: Ketamine @ 5 mg/kg I/V Xylazine @ 1 mg/kg I/V SURGICAL PROCEDURE
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. The edges of the capsule of the gland and the subcutis were sutured with Polyglactin 910- 0 in the inversion and simple continuous pattern respectively Staples: Length: 6.4 mm Width: 4 mm Diameter: 0.57 mm
  • 20.
  • 21. POST OPERATIVE CARE DRUG ROUTE DOSE RATE Cefpodoxime I/V 10 mg/kg for 7 days Serratiopeptidase PO 10 mg/kg for 3 days NUTRICH PO 1 tab OD for 5 days
  • 23. CONCLUSIONS  Fine needle aspiration only temporarily reduced the size of the swelling. Recurrence was observed.  No recurrence was observed after surgical excision of the gland and removal of the sialoliths  Usage of staples proved to be satisfactory  Uneventful recovery

Editor's Notes

  1. Sialocele: Leakage of saliva from a damaged gland or duct and its consequent accumulation in nearby tissues (Cervical, zygomatic, pharyngeal, sublingual). Inflammation due to the saliva subsequently sets in and the mucocele ends up becoming lined by inflammatory (granulation) tissue. Sialolithiasis: Due to sialoliths in the gland or duct Sialoliths: Varying ratios of organic and inorganic substances
  2. Aspiration: Thick, viscous, bloody saliva
  3. Convex probe 3.5- 5 MHz
  4. NORMAL RANGE 12- 19 g% 35- 57 % 5- 14 x 103 cells/ µL 58- 85 % 8- 21 % 2- 10 % 0- 9 %
  5. Right lateral recumbency
  6. Salivary cyst involving parotid was exteriorised
  7. ~ 50 ml of viscous, blood stained saliva
  8. Analysis- Calcium oxalate
  9. Partially detached from surrounding tissue, ligated at the base and excised by underwater monopolar thermocautery Thermocautery: 80- 90 C
  10. Stainless steel surgical staples: Company: Acos (by Sunmedix Surgiplus) Cost: Rs. 350 (Wholesale) 35 staples Easy to apply Easy to remove No capillary action Skin was thick at the site
  11. Staples- Intact No swelling, discharge or foul smell Staples were removed Syr. Liv. 52- 5 ml BID PO