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Willows expands Out of Hours Emergency and Critical Care Service

Most dogs have four pairs of salivary glands each with a duct

that joins their mouth (oral cavity) with the salivary gland itself.

Sometimes these glands/ducts can be damaged by trauma which

causes an accumulation of saliva under the skin. These are called

salivary mucoceles. They can also occur due to salivary stones

(sialoliths), foreign bodies or cancer, but in the majority of these

cases the cause is not known.

Romeo had a CT scan of his head and neck to highlight which tissue

the swelling was associated with. He also had a needle biopsy of the

lump whilst he was sedated. The CT scan showed a close association

of the swelling to one of his salivary glands and when the needle

sample was performed, a large amount of saliva was obtained. This

confirmed the diagnosis of a salivary mucocele.

The best treatment for this condition is surgical removal of the

affected salivary gland or glands and the associated ducts. Non-

surgical management by making an incision into the mucocele

allowing drainage or draining the swelling with a needle is not

recommended, as it will often reoccur.

Will and Chris Shales, one of Willows’ Specialist soft tissue

surgeons, performed Romeo’s delicate surgery and we are very

pleased to report that he recovered really well and is back to his

old self with no sign of his swelling recurring.

Romeo lumped with an unusual problem

Romeo, an adorable 1 year old Cocker Spaniel, was presented to the primary team with a non-painful swelling

in his neck. He was normally a very lively and otherwise fit and healthy young dog.Will Robinson, primary

veterinary surgeon, discussed with Romeo’s owners the possible reasons for a lump in his neck, the most likely

cause being a salivary mucocele or less likely, an abscess or tumour.

Cocker Spaniel Romeo

A CT scan slice showing an abnormal swelling next to the salivary gland which represents the mucocele

For many years,Willows has had an

experienced vet and nurse in the practice

overnight, caring for our hospitalised

and critical patients as well as receiving

out of hours emergencies from our

primary practice, ensuring high quality

service day and night. Recently we have

extended this service and now provide

both emergency care and hospitalisation

for emergency and critical cases for

clients from a number of local practices.

To ensure that the high standards and

excellent care that clients expect fromWillows

continues, we have increased our dedicated

team of night staff to two vets, two nurses and

a veterinary care assistant.They are always

ready to deal promptly with urgent cases as

they arrive, no matter whether it is a weekend,

a public holiday or the middle of the night.

Our on-site security guard also offers extra

reassurance during the night-time hours.

AtWillows our team of over a hundred vets,

nurses and care assistants work 24 hours a day

treating and caring for your pets in our state-

of-the-art premises, which includes a dedicated

intensive care unit.Whatever the nature of the

case, our multi-disciplinary team of specialists

from the following services; orthopaedics,

ophthalmology, soft tissue surgery, medicine,

oncology, dermatology, cardiology, neurology,

diagnostic imaging and anaesthesia, are all on

hand should your pet need their specialist care.

So you can rest assured that should your pet

require emergency treatment, they will receive

the very best of care every time and at any time.

In the event of an out of hours emergency

occurring please telephone 0121 712 7071

William Robinson


General Practice Service Clinician

Salivary Gland

affected by

the Salivary