PMID- 26535462
OWN - NLM
STAT- MEDLINE
DCOM- 20160930
LR  - 20161126
IS  - 0587-2871 (Print)
IS  - 0587-2871 (Linking)
VI  - 51
IP  - 6
DP  - 2015 Nov-Dec
TI  - Orbital and Subcutaneous Emphysema Following Enucleation and Respiratory Distress 
      in a Japanese Chin.
PG  - 413-8
LID - 10.5326/JAAHA-MS-6279 [doi]
AB  - A 7 yr old, neutered male Japanese chin presented to the Cummings School of 
      Veterinary Medicine at Tufts University (CSVMTU) for evaluation of chronic 
      unilateral orbital swelling that worsened following an episode of respiratory 
      distress. The left eye had been enucleated 5 yr previously. Intermittent 
      mild-to-moderate left orbital swelling had been noted by the owner since the 
      initial surgery. Examination demonstrated a moderate-to-severe, soft, fluctuant 
      swelling involving the left orbit with erythema of the overlying skin. Crepitus 
      was noted over the occipital tuberosity. Computed tomography revealed a large 
      volume of gas involving the left orbit. The gas extended caudally within the 
      subcutaneous tissues to both hemimandibles, dorsal to the cranium, and partially 
      surrounded the cranial neck. The presence of a mucosa-lined, air-filled space 
      with a patent nasolacrimal duct was noted on orbital exploration. The lining was 
      removed and the duct closed. Histopathology confirmed the presence of an 
      epithelial lining. No recurrence of the swelling was observed on examination 8 wk 
      after surgery. This is the first report documenting acute worsening of orbital 
      swelling following an episode of respiratory distress. This case highlights the 
      importance of addressing the nasolacrimal duct while performing an enculeation in 
      a brachycephalic dog.
FAU - Gornik, Kara R
AU  - Gornik KR
AD  - Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts 
      University, North Grafton, MA (K.R.G., C.G.P.); and Capital Area Veterinary 
      Emergency Service, Concord, NH (A.F.A.).
FAU - Pirie, Christopher G
AU  - Pirie CG
AD  - Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts 
      University, North Grafton, MA (K.R.G., C.G.P.); and Capital Area Veterinary 
      Emergency Service, Concord, NH (A.F.A.).
FAU - Alario, Anthony F
AU  - Alario AF
AD  - Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts 
      University, North Grafton, MA (K.R.G., C.G.P.); and Capital Area Veterinary 
      Emergency Service, Concord, NH (A.F.A.).
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - J Am Anim Hosp Assoc
JT  - Journal of the American Animal Hospital Association
JID - 0415027
SB  - IM
MH  - Animals
MH  - Dog Diseases/diagnostic imaging/*etiology/surgery
MH  - Dogs
MH  - Emphysema/diagnostic imaging/etiology/*veterinary
MH  - Exophthalmos/surgery/veterinary
MH  - Eye Enucleation/adverse effects/*veterinary
MH  - Male
MH  - Orbital Diseases/diagnostic imaging/etiology/*veterinary
MH  - Subcutaneous Emphysema/diagnostic imaging/etiology/veterinary
MH  - Tomography, X-Ray Computed/veterinary
EDAT- 2015/11/05 06:00
MHDA- 2016/10/01 06:00
CRDT- 2015/11/05 06:00
PHST- 2015/11/05 06:00 [entrez]
PHST- 2015/11/05 06:00 [pubmed]
PHST- 2016/10/01 06:00 [medline]
AID - 10.5326/JAAHA-MS-6279 [doi]
PST - ppublish
SO  - J Am Anim Hosp Assoc. 2015 Nov-Dec;51(6):413-8. doi: 10.5326/JAAHA-MS-6279.