In need of some extra brains on the case, here.
Faolan is having some face/mouth problems and we're at the point of referral.
End of Feb, I noticed his top gum was looking red and angry, gingivitis-like and his canine on that side was starting to go off-colour. Within a week, the side of his muzzle alongside the bridge of his nose started to swell up very quickly.
Got him into the vet, who put him on antirobe for an assumed infection, and metacam for the inflammation. No response at all, and his face continued to grow. Another week went by, and he had a swelling starting in the roof of his mouth. At this stage he went in for investigations: needle aspirates on his muzzle, biopsies on his now very red, angry, bumpy gum.
The diagnosis was chronic, severe gingivitis probably from trauma to the dying tooth, with fibrous nodules causing the hard swelling. So he had the tooth taken out. By this point, the swellings had joined through his mouth - gums swollen from the side with the affected tooth round to the front and back through to the swelling in the roof.
Now the swelling on his muzzle is still growing, his eye is weeping and hurting and nothing has improved at all (we're now 2-weeks post tooth removal). The vet is out of ideas and is wondering if there's a growth hidden under the inflammation that the needles missed. I'm working on the same theory but with infection, so at my request, he's starting a two week course of Noroclav (as we can't be more specific without a culture) and metacam, and a hefty dose of hope. The muzzle swelling is rock hard (but no bone involvement according to the x-ray) and hot, so I'm hoping that that's what we're dealing with - just a really tough, closed infection.
But, I thought I'd post in case anyone had any experiences or suggestions. I can't do a referral without help - he's not insured and I am flat broke right now - so I've got to look into options on that front but I'm hoping there might be something else my own vet can try. Removal of the mass is not an option as it would require moving the entire upper half of his muzzle back to the eye sockets.