A 10-year-old cat has a swelling below the right eye - malar abscess? Part 1/2
Channel: Dr David Sing
Date: 05/05/2015

The swelling below the right eye appears to be a malar abscess. The  enlarged prolapsed 3rd eyelid distracted the vet from the diagnosis of the abscess in the maxillary sinus area.

Dental check up by Dr Daniel showed NO loose premolars, only tartar. 

"It is likely an abscess in the maxillary sinus," I said. "The owner did not agree to pay for the blood test and X-rays.  Lancing the swelling in that area discharged pus. The cat should recover.

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NOTE:

Case Study 3.  Part 1/2.
Malar abscess in an old cat. 
A 10-year-old cat has a swollen face with a wound below the right eyelid
CONSULTATION VIDEO.  
Vet 1 had treated the facial swelling with antibiotics, but the facial swelling persisted. It is easy to mis-diagnose the facial swelling as an infection due to cat scratch or fights. Antibiotics will not resolve the swelling.

Claire, the groomer saw the cat displaying a swollen 3rd eyelid swelling and eye discharge. She consulted Toa Payoh Vets. This video showed the consultation and examination. No treatment yet.

Diagnosis of the malar abscess is to look for the discharging wound in the right facial swelling below the right eye. Malar abscess is also known as oro-nasal fistula.   The owner didn’t want dental X-rays or blood test to confirm malar abscess. In the first video,  I diagnosed  malar abscess and advised treatment (see TREATMENT VIDEO). 

This is the CONSULTATION VIDEO: https://www.youtube.com/watch?v=55aMGaC7mIk


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Case Study 3. Part 2/2. This is in another video called TREATMENT VIDEO. See  link below.
Malar abscess in an old cat.  
A 10-year-old cat has a swollen face with a wound below the right eyelid

TREATMENT VIDEO.  Lance and drain malar abscess. This video is at: 
https://www.youtube.com/watch?v=FaFEm8dAt1c