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•  Most Chronic and
peracute ear problems will have ruptured eardrums.
• All ear cleaning and drying products plus treatments with
Gentocin and Neomtcin are OTO-toxic in perforated eardrum
situations. These products cause damage to the pet's ear inner
ear and cause inflammation of the middle ear.
• A bacterium called Pseudomonas is the major cause of
infected ears. It is extremely resistant to most common
antibiotics. Malassezia a yeast is also involved in most
ear diseases.
• In order to treat ear disease with out doing more damage a
veterinarian needs to see whether the eardrum is patent.
• We are sure that most clients have had experience of reducing
ear problems, or heard friends talk about them. To combat this problem we have
acquired an Earscope, basically a camera that transmits images to
a monitor, and can be used to flush/clean/suction the outer ear
canals and the middle ear.
• Your pet will need to be anesthetized for these procedures.
• What we offer our clients with this equipment plus the
knowledge Dr. Raleigh has acquired at specialized seminars on ear
disease is an accurate diagnosis of the pet's ear problem and the
most up to date treatment. Nothing more nothing less.
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External/middle ear videoscope
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Anesthesia
injectable/ plus gas anesthesia. If prolonged $30.00 Extra
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Ear
Cleaning /flushing/suction external ear X1
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Middle
ear flushing/suction X1
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Appropriate
therapy for middle ear
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Synotic/Enrofoxacin
drops. Yeast drug if necessary
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Cleaner
or Trisedta whichever is indicated
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Basic
External/middle ear
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• Sedate pet.
• Obtain a swab from ears to determine causative organism.
• Using the videoscope check the ear canals and see whether an
eardrum is present.
• If an eardrum is present we proceed to clean the vertical and
horizontal canals of the outer ear, with an intact eardrum we can use
a powerful cleaning agent Clear'rx. We clean/scrape/flush and suction
these canals.
• If the eardrums are absent, we are presented with otitis media or
middle ear infection. We cannot use cleaners in this situation so we
use a process o continual flushing and suction with this sterile
water to clean out the middle ear. As you can see from the attached
diagram this is like a bony, bowl, with the eardrum gone all the
inflammatory products from infection fill this and cause a persistent
recurring problem. All the deposit needs to be cleaned out of the
ear.
• We then deposit a powerful steroid with enrofloxacin as an
antibiotic directly into the middle ear.
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Flushing
cleaning if needed as above
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Unfortunately
middle ear disease will require at least two visits. We intended
doing our best for your pet. To clear up inflammation of the middle ear
requires intense cleaning and flushing repeat checking with possible
flushing and cleaning. There is no point in treating this condition
without ensuring a clean middle ear. The eardrum regenerates but if
it does and closes off an infected middle ear it is going to
breakdown again and again. If the eardrum is intact, and the pet has
only external ear disease, a recheck without anesthesia will be
required to ensure the infection is gone.
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Pets with
perforated eardrums and middle ear disease need to be checked at
approximately, 10 days, and will probably need reflushing and
treatment.
All pets are sent home with medications relevant to their particular
problem.
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Click here to read the latest edition of the Sun
Prairie Pet Care Centre Newsletter.
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