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Hello. I need help from a professional. We are from Georgia (country). Unfortunately there is lack of good vet surgions here and am trying get help online. I am a medical doctor myself and I've been doing some research on this condition. I'll give you a brief history about my dog (samoyed). He ran away few years ago, and we found him after 3 days with broken jaw, noone knows what happened. He had his first surgery about 3 years ago, they've put metal plate and pinned it in place. Everything was ok for a year, and then he developed swelling on the same side. Surgion thought it was a reaction to the metal and we took it out. Bone has healed properly, multiple xrays confirm that. few months after the second surgery appeared draining sinus at the bottom of the jaw, which didn't go away. We tried antibiotics (systemic and local), wound care didnt help. We did the third surgery trying to find the problem but it was unsuccessful, bone looked fine on exploration. Draining sinus stays to this day, we've done multiple tests to find where this fluid is coming from but still nothing. Surgion thought it's either from a lymph node or salivary gland. I found multiple articles on salivary fistulas, and I think that's what he has. But am not sure how to proceed. Sinus hasn't closed for months, I think it has been epithelialized and It's not going to close on its own. My question is, how do you find out which salivary glans is damaged, and if there is any conservative treatment for it. Surgery for removing the gland can be considered if we can find out exactly which duct is ruptured. What are your thoughts? Please help me solve this problem once and for all.
Thank you in advance.
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I'm afraid you'll find that most posters here are not veterinary professionals, and there's no way to verify anyone who claims otherwise. Additionally, in many countries a vet can actually lose their license if they give advice to an animal they have never seen in person and don't have an existing veterinary client-patient relationship with. This is why this forum bans us from giving veterinary advice; because anyone can post anything that is uninformed at best and potentially malicious at worst.

I do wish your dog the best, poor thing.
 

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You might try calling veterinary schools and specialists who aren't necessarily in your area but who might have experience and knowledge that could help you. I know when I was breeding horses years ago before online was available, my local vet would call around to the vet schools and consult when he was stymied.
 
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