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Shortly after winning his veteran title at this years bend champs, Jack started with a neck swelling. Anti-biotics brought some of the swelling down for a week or so but it started to come back and after some wrestling with him I seen an area of inflammation at the back of his throat so we decided to take him to Paul Evans. He was sedated initially so his throat could be examined where it was seen that he has a sinus ( tunnel of infection that's tracked through his neck) leading to the mass.
Paul then explored the sinus looking for any cause ( suspicians being at the moment grass seed or a bone) neither was found but dead tissue was removed and cleaned up as best as possible. He then decided to anaethetise Jack and explore the lump but as it's location is so close to his jugular vein (which branches out over the mass) along with the close location of carotid arteries, he (and us!) felt it was better to examine the lump and insert a drainage tube so the infection could drain away along with a heavy course of anti-biotics. Unfortunately nothing was found as a likely culprit but it's feasible the culprit is so small that it will come out with the drain.
He came home with me after surgery understandibly the worse for wear and we've had to keep a close eye on him for any extensive bleeding, salivary problems or extensive swelling that effected his airway. The drain has to be flushed through and kept mobile several times a day but it does seem to be working so far as the lump does seem to be flattening out. :luck:
We're both really pleased with Paul Evans work and his approach to the situation. :thumbsup:
I've added a few piks of what's going on, basically for anyone who (god forbid) ends up in a similar situation. They may be upsetting for some. :nuke:
1 day post-op side view
The swelling beneath his jaw and towards the bottom of his neck is just fluid build up following surgery.
1 day post-op front view
excuse the blood but as it's an open drain it's constantly oozing and we have to be gentle bathing the area.
Diagram 1
This is where the sinus is, not easy to see with a routine look. It's suspected this is where 'something' entered his throat.
Anatomy view
The mass is at point 3 on the view, as you can see, enclosed by the jugular vein.
Jack's coping well considering. He's still managing to eat well (with a few gurgles and coughs) and sleeping is noisy with the snoring but apart fom that he's very well in himself. Today he's been pottering in the garden and been playing with a teddy. He's also enjoying his bed baths and generally being spoilt rotten. :wub:
I know I planned on going racing this weekend and was looking forward to not only running Dobs but also the peddys, however even though I know Tony's more than capable I'm a bit reluctant to leaving Jack at the mo and I think it would ruin my weekend if I was worrying how he was. Thanks ever so much to those who offered to run peds this weekend, I'm sorry I won't be there to support this but I'm sure you understand.
Paul then explored the sinus looking for any cause ( suspicians being at the moment grass seed or a bone) neither was found but dead tissue was removed and cleaned up as best as possible. He then decided to anaethetise Jack and explore the lump but as it's location is so close to his jugular vein (which branches out over the mass) along with the close location of carotid arteries, he (and us!) felt it was better to examine the lump and insert a drainage tube so the infection could drain away along with a heavy course of anti-biotics. Unfortunately nothing was found as a likely culprit but it's feasible the culprit is so small that it will come out with the drain.
He came home with me after surgery understandibly the worse for wear and we've had to keep a close eye on him for any extensive bleeding, salivary problems or extensive swelling that effected his airway. The drain has to be flushed through and kept mobile several times a day but it does seem to be working so far as the lump does seem to be flattening out. :luck:
We're both really pleased with Paul Evans work and his approach to the situation. :thumbsup:
I've added a few piks of what's going on, basically for anyone who (god forbid) ends up in a similar situation. They may be upsetting for some. :nuke:
1 day post-op side view
The swelling beneath his jaw and towards the bottom of his neck is just fluid build up following surgery.
1 day post-op front view
excuse the blood but as it's an open drain it's constantly oozing and we have to be gentle bathing the area.
Diagram 1
This is where the sinus is, not easy to see with a routine look. It's suspected this is where 'something' entered his throat.
Anatomy view
The mass is at point 3 on the view, as you can see, enclosed by the jugular vein.
Jack's coping well considering. He's still managing to eat well (with a few gurgles and coughs) and sleeping is noisy with the snoring but apart fom that he's very well in himself. Today he's been pottering in the garden and been playing with a teddy. He's also enjoying his bed baths and generally being spoilt rotten. :wub:
I know I planned on going racing this weekend and was looking forward to not only running Dobs but also the peddys, however even though I know Tony's more than capable I'm a bit reluctant to leaving Jack at the mo and I think it would ruin my weekend if I was worrying how he was. Thanks ever so much to those who offered to run peds this weekend, I'm sorry I won't be there to support this but I'm sure you understand.