Ears

Video Otoscopy Has Revolutionised How We Treat Cases of Ottitis

Since purchasing our Storz Video Otoscope in 2004  we have been able to mange cases of otitis, particularly Pseudomonas otitis, much more effectively.

I used to have to perform on average ten TECA/Bulla Osteotomy operations a year from the first opinion work in our practice. This has now reduced to around four  a year from our first opinion practice.   I have now treated over 1000 dogs  and cats suffering with otitis, using the video otoscope.

Video otoscopy allows a  much better visualisation of the ear canal and  tympanic membrane than can be achieved with a hand held otoscope and it  allows us , via flushing tubes and other intruments that are placed through a port on the otoscope, to carefully remove ceruminoliths, thoroughly clean the horizontal ear canal (often impossible to do effectively  and safely with a hand held otoscope) and accurately perform myringotomies ( if necessary) and flush out the middle ear/take sample for bacteriology from the middle ear.

Owners are shown videos of their pet’s video otoscopy procedure and this really helps in their understanding of the severity of their pet’s otitis and they can see for themselves the improvements that have occured with therapy.

It is not unusual, particularly with severely ulcerated pseudomonas cases, for this procedure to be  repeated several times over a period of weeks before the otitis is fully resolved.

General anaesthesia is always required when perfoming video otoscopy.

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Ceruminolith inside ear canal

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Ceruminolith after removal from canal

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Ceruminous Gland Adenomas

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Chronic Otitis Before Treatment

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Chronic Otitis After Treatment

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Feline Nasopharyngeal Polyp

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Video Otoscope

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Video Otoscopy

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Video Otoscopy

The video below was taken of the ear canal of an Old English Sheepdog with chronic otitis externa. Both ear canals we like this, exhibiting loose spongy hyperplastic skin occluding the  ear canal.  Therapy with high doses of prednisolone were very successful in the right ear.  The left ear however was refractory to treatment and required a TECA.

The video below shows a myringotomy being performed on a dog with a 4 week history of pain upon opening the jaw. There was a middle ear infection with pseudomonas that was successfully resolved after myringotomy

The video below is probably the worst case of ceruminous gland hyperplasia that I have ever seen.  This middle aged Border Terrier was also suffering with pemphigus foliaceus.  The immunosupressive doses of prednisolone given to treat the pemphigus completely reversed the pathology within the ear canal within 7 weeks

If you’ would like to discuss your difficult ear case with me please call on 01163 260402 or email  dgb@dermvet.co.uk.