Page 82 - Veterinary Laser Therapy in Small Animal Practice
P. 82

68                             Veterinary Laser Therapy in Small Animal Practice


                     Table 7.2 Recommended parameters for lick granuloma.
                                Dose (J/cm )                     Power (W)                  Power density (W/cm )
                                         2
                                                                                                             2
                                   4–30                             2–4                           0.5–0.8


                     address it, whether it is with LT, manual therapy, or   if the granuloma is too old and hyperplastic, you may
                     however indicated.                                 consider granuloma ablation (by conventional surgery
                        Make sure the animal cannot lick the area, but   or CO  laser) and laser treatment for the postsurgical
                                                                             2
                     consider the stress that Elizabethan collars (E-collars)   healing (Fig. 7.7).
                     represent  for  some  cases  and  think  of  alternatives  if
                     necessary. Treat 2–3 times per week and if the area is           7.4 Dermatitis
                     bandaged, schedule its change for the same day. My
                     advice is that you continue with a twice a week schedule   7.4.1 Acute and chronic dermatitis
                     until the lick granuloma is resolved, and then keep treat-
                     ing the area once a week for 2–4 more weeks. If after   Acute moist dermatitis, commonly known as hot
                     the first 2 weeks there is no substantial improvement or   spots, can be the result of self-trauma or acute focal

















                      (a)                                               (b)














                      (c)                                               (d)











                                                                        Figure 7.7 (a–e) Some granulomas require surgical
                                                                        treatment. In this case, ablation with CO  laser. Ten
                                                                                                      2
                                                                                              2
                                                                        treatments of LT with 5 J/cm  were used postoperatively to
                      (e)
                                                                        help with healing.







         REDONDO PRINT (4-COL BLEED).indd   68                                                                         08/08/2019   09:47
   77   78   79   80   81   82   83   84   85   86   87