My dog's chronic sinus infection: Is surgery needed if meds fail?

Question

After nasal swab,CT scan,radiography,rhinoscopy; doc said surgery.He said he couldnt see anything bc of the infected disharge in the nose so biopsy may give wrong results.He has disharge for months.He also had a tooth extracted from where the discharge started and a pocket burst and dried out under the related eye.All this time, we thought it's an infection which also caused a bone erosion. I want to know if any sinus infection has to be operated?Can it be infection that wont go away with drugs? Pet's info: Dog | Mixed Breed | Male | 14 years and 11 months old

Laura Johnson VMD · Accepted Answer

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Spike! I am assuming since you have had extensive diagnostics done that you and Spike are in the care of a specialist. If there is an infection in his sinuses then it could be resistant or be fungal. Fungal infections do not respond to antibiotics and the Vet would want a diagnosis before starting anti-fungals. My concern is for a tumor due to Spike's age. I can't view your image as it is very very small and out of focus. I would ask what other imaging like an MRI can be done to confirm if there is a tumor or not. Also I would just do the scope with the hope that they will see the tumor and are able to get a good culture and biopsy. If they can't then consider surgery. I wish you and Spike the best!

My dog's chronic sinus infection: Is surgery needed if meds fail?

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