MANAGEMENT OF EXPOSED FRONTAL BONE AS AN EFFECT OF DIRECT APPLICATION OF ANTIBIOTIC POWDER ON HEAD WOUND IN A ONE-MONTH OLD PUPPY
Thursday, June 2, 2016, 2:00 PM – 2:30 PM
Ivy V. Alvarez
Animal Wellness Veterinary Company, Cebu, Philippines
Introduction: A 2-week-old pup bitten in the head by another dog was treated at home with Penicillin capsule powder applied directly on the wound. After 2-weeks, the pup was presented in the hospital with an exposed dry frontal bone covered by powder with tiny ﬁstula dorso-medially located were exudate oozes. Our aim was to achieve total healing with minimal damage to the pup’s brain from frontal bone loss and infection.
Method: The wound was cleaned regularly with Saline. Alternate of foam and hydrogel pad were used to dress the lesion. Owner did not allow surgery. Cefuroxime was the antibiotic of choice due to its high concentration in the CNS, Carprofen was used as pain reliever. Right frontal bone was removed manually 7 days after the left frontal bone sloughed oﬀ.
Result: Obvious discolouration of the exposed frontal bone and epithelialization and healing of the surrounding tissue were observed. The left frontal bone slough oﬀ while wound cleaning on the 15th day of treatment as the ﬁstula widened. Wound healing was observed to have hastened on this side after the bone was removed and the diameter of the wound decreased along this area. Dog shows incoordination at times. There is dorsal deviation of the left upper eyelid due to the tension of the healing area making the left eye unable to close totally. The wound has healed but no bone growth seen in radiograph at this time.
Conclusion: Earlier manual removal of exposed dry frontal bone would have hastened the healing instead of waiting for the natural wound recovery.