Veir J K, Lappin M R, Foley J E, Getzy D M
IDEXX Laboratories, Inc. Broomfield, CO, USA.
J Feline Med Surg. 2002 Dec;4(4):195-9. doi: 10.1053/jfms.2002.0172.
Inflammatory polyps are associated with significant aural or nasopharyngeal disease in cats. It has been proposed that chronic viral infection may induce the masses. Ventral bulla osteotomy (VBO) is usually recommended for definitive therapy but removal of masses from the nasopharynx or external ear canal by traction/avulsion is also used. A retrospective study of 28 cats with inflammatory polyps was conducted to correlate recurrence with mode of therapy. Tissues from 41 polyps were assayed for feline calicivirus and feline herpesvirus-1 by RT-PCR and PCR, respectively. Of the 14 cats initially treated by traction/avulsion, recurrence was detected in five of nine cats with radiographic evidence of bulla disease but none of the cats with normal bullae. Traction/avulsion is a reasonable treatment for inflammatory polyps if the bullae are radiographically normal. Failure to detect feline calicivirus and feline herpesvirus-1 suggests that tissue persistence of these viruses is not associated with the development of inflammatory polyps.
炎性息肉与猫的严重耳部或鼻咽部疾病相关。有人提出慢性病毒感染可能诱发这些肿物。腹侧鼓室切开术(VBO)通常被推荐用于确定性治疗,但也可通过牵引/撕脱术从鼻咽部或外耳道切除肿物。对28只患有炎性息肉的猫进行了一项回顾性研究,以将复发与治疗方式相关联。分别通过逆转录聚合酶链反应(RT-PCR)和聚合酶链反应(PCR)对41个息肉的组织进行猫杯状病毒和猫疱疹病毒-1检测。在最初接受牵引/撕脱术治疗的14只猫中,9只影像学显示有鼓室疾病的猫中有5只复发,但鼓室正常的猫均未复发。如果影像学检查鼓室正常,牵引/撕脱术是炎性息肉的一种合理治疗方法。未检测到猫杯状病毒和猫疱疹病毒-1表明这些病毒的组织持续存在与炎性息肉的发生无关。