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Nasopharyngeal polyp exploratory surgery. Inky was suspected to have a nasopharyngeal polyp and his vet…

Symptoms:

Inky was a rescued feral kitten. From the time his family found him he had what seemed to be an upper respiratory infection (which is very common in feral kittens). After multiple rounds of antibiotics there was little change in his snoring/snorting nasal noises.
After doing some research they wondered if he might have a nasopharyngeal polyp?
They asked their vet about the possibility?
Their vet wanted to send them to a specialist for this. They could not find anyone locally to look and help them with Inky in a price range that was affordable.

Diagnosis:

Inky had received multiple rounds of antibiotics. He, however, had not received what I consider the core kitten veterinary services. These include;
fecal examination for intestinal parasites, $40
FeLV/FIV test $35
vaccines; FVRCP & leukemia $30
Inky also had pre-op blood work before we put him under anesthesia for his polyp exploratory and neuter. The price can vary depending on which labs are tested for, in most cases a healthy kitten is given a $60 blood work panel (6 chem, cbc). Inky was FIV positive, he had a $160 panel (full chem and cbc).
On physical exam I heard a snoring sound that was focused on the top of his trachea. He also had a palpable mass in the throat area. When I opened his mouth I very quickly saw what I believed was a swelling at the back of the top of his oral cavity. I was also able to palpate this very quickly.
The only way to visualize this adequately is with sedation or anesthesia. Because he was not neutered and had such a chronic snoring sounds it was decided to anesthetize him, neuter him and look in hos mouth/throat area for a more thorough exam.

Treatment:

Treatment for nasopharyngeal polyps includes referral to a boarded surgeon who may chose to use either a scope to avulse or remove the polyp at its base. Or, a surgical approach through the ear. Unfortunately, in my experience the majority of ear polyp patients I see cannot afford these options. Most of the estimates my clients are given at a specialists office or via endoscopy range from $1500 to over $2500. Inky was one of these patients.
I place my patients under general anesthesia with an endotracheal tube placed. I then retract the soft palate with a spay hook to try to grab the polyp as close to the base as possible. With gentle twisting and traction the polyp is removed.
In over a dozen cases I have had two recur. Both were removed and have not recurred since.
The average cost for this procedure is about $400.
I have multiple YouTube videos available on this procedure.
They can be found on my YouTube channel.
https://www.youtube.com/channel/UCq7z_qtov_Al1dEEfjZt8iQ

here is one video; https://www.youtube.com/watch?v=NFiq8x7HQao

neuter for a cat $100
Fvrcp & leuk 1/2 w Rabies 1 year, vaccines $46 total

Conclusion:

Inky had what turned out multiple issues. He has an enlongated soft palte which leaves, what I suspect is an elongated soft palate that is procluding my ability to see, or remove his polyp. Inky needs to have two surgeries done, or, a CT scan now to identify the extent of his issues and possible underlying congenital defects. He is an interesting case, with very sadly no resolution that I could provide at this surgery date. He was neutered and will be rechecked in a few weeks. From there we will devise a plan to either do a soft palate resection surgery or utilize the services of a specialist. These cases happen. They start out with the hopes of having a quick, easy, routine resolution, and they go south on you. You have to be prepared for surprises, and adapt to them. I know, I am frustrated as hell too.

Pet Type: Cat
Pet Breed: domestic short hair
Pet Date of Birth: 08/08/2018
Treatment Cost (USD): $605.00
Provider Business: Jarrettsville Veterinary Center
Address:
3961 Norrisville Rd
Jarrettsville Vet
Jarrettsville, Maryland 21084
Files of Receipts, Invoices, Documents, etc.:
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