Pratschke Kathryn M
Department of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom.
Vet Surg. 2003 May-Jun;32(3):292-6. doi: 10.1053/jvet.2003.50036.
To describe inflammatory polyps of the middle ear in 5 dogs.
Case series.
Five dogs with ear disease.
Medical records (1995-2001) were reviewed to identify dogs with inflammatory polyps of the middle ear. Signalment, clinical signs, ancillary diagnostic procedures, treatment, postoperative complications, and outcome were recorded. Owners and referring veterinarians were contacted to document outcome.
Dogs with inflammatory polyps of the middle ear were male and aged 4 to 13 years. Two dogs had bilateral polyps, whereas 3 had unilateral polyps. The most common clinical presentation was otitis externa and media, with radiographic evidence of otitis media. Polyps were treated by ventral bulla osteotomy (VBO) in 1 dog and total ear canal ablation with lateral bulla osteotomy (TECA-LBO) in 4 dogs. Polyps consisted of a fibrovascular stroma infiltrated with neutrophils, macrophages, lymphocytes, and plasma cells. The overlying epithelium was frequently ulcerated. Immediate postoperative complications included a seroma after VBO (1 dog) and transient unilateral facial nerve paralysis after bilateral TECA-LBO (1 dog). No recurrence occurred within 9 to 69 months.
Unilateral or bilateral, inflammatory polyps can occur in the middle ear of dogs in association with otitis externa and media. No recurrence occurred after surgical removal of the polyps.
Inflammatory polyps of the middle ear in dogs can be a cause of otitis externa/media. Surgical removal of aural polyps has a good prognosis.
描述5只犬中耳炎性息肉的情况。
病例系列。
5只患有耳部疾病的犬。
回顾1995年至2001年的病历,以确定患有中耳炎性息肉的犬。记录品种、临床症状、辅助诊断程序、治疗方法、术后并发症及预后情况。联系犬主和转诊兽医以记录预后。
患有中耳炎性息肉的犬为雄性,年龄4至13岁。2只犬为双侧息肉,3只为单侧息肉。最常见的临床表现为外耳道炎和中耳炎,影像学检查有中耳炎证据。1只犬采用腹侧鼓室切开术(VBO)治疗息肉,4只犬采用全耳道切除术联合外侧鼓室切开术(TECA-LBO)治疗。息肉由纤维血管基质组成,浸润有中性粒细胞、巨噬细胞、淋巴细胞和浆细胞。表面上皮常发生溃疡。术后即刻并发症包括VBO术后1只犬出现血清肿,双侧TECA-LBO术后1只犬出现短暂性单侧面神经麻痹。9至69个月内无复发。
犬的中耳可发生单侧或双侧炎性息肉,与外耳道炎和中耳炎相关。息肉手术切除后无复发。
犬中耳炎性息肉可导致外耳道炎/中耳炎。耳部息肉手术切除预后良好。