Transpalatal Ventral Rhinotomy for Air‐Gun Pellet Removal in a Cat: A High‐Speed Drill‐Assisted Approach

Importance This case report provides clinical insight into a rare presentation of an air‐gun pellet lodged in the nasal cavity of a cat without visible trauma. It demonstrates the diagnostic challenges and reinforces the value of advanced imaging and surgical planning. Moreover, it highlights the effectiveness of ventral rhinotomy with powered tools as a safe, precise method to access the feline nasal cavity. Case Description A 5‐year‐old female neutered domestic short‐haired cat presented with intermittent unilateral rhinorrhea and increased respiratory noise since her rescue. Physical examination revealed mucopurulent discharge from the left nasal cavity and inspiratory stertor, with otherwise unremarkable findings. Radiographic imaging revealed a metallic‐density foreign body, resembling an air‐gun pellet, within the left nasal cavity. Rhinoscopy confirmed its presence but did not permit retrieval due to anatomical constraints. A ventral rhinotomy was therefore performed under fluoroscopic guidance via the palatine bone using a high‐speed drill, allowing pellet removal. Conclusion To the authors′ knowledge, this is the first published report of an air‐gun pellet lodged in the nasal cavity of a cat. This case illustrates the usefulness of ventral rhinotomy and powered instruments for achieving precise bone access in this specific context.