Corfield G S, Burrows A K, Imani P, Bryden S L
School of Veterinary and Biomedical Sciences, Murdoch University, Perth, Western Australia, Australia.
Aust Vet J. 2008 Mar;86(3):88-94. doi: 10.1111/j.1751-0813.2008.00254.x.
Primary secretory otitis media is an uncommon disease affecting predominantly Cavalier King Charles Spaniel dogs. Current treatment recommendations include repeated manual removal of the mucoid effusion from the tympanic cavity through a myringotomy incision and topical or systemic corticosteroids. The aim of this study was to assess the efficacy of tympanostomy tubes to provide continual tympanic cavity ventilation and drainage for the treatment of primary secretory otitis media in three dogs. Tympanostomy tubes were placed within a myringotomy incision in the pars tensa with the aid of an operating microscope. Clinical signs resolved rapidly in all cases following the procedure and all cases were asymptomatic at the time of follow-up, 8, 6 and 4 months later. Results of this study indicate that tympanostomy tubes provide continual tympanic cavity ventilation and drainage and may be an acceptable alternative to repeated myringotomy for the treatment of primary secretory otitis media.
原发性分泌性中耳炎是一种主要影响骑士查理王小猎犬的罕见疾病。目前的治疗建议包括通过鼓膜切开术切口反复手动清除鼓室内的黏液性积液以及局部或全身使用皮质类固醇。本研究的目的是评估鼓膜造孔管为三只患有原发性分泌性中耳炎的犬提供持续鼓室通气和引流的疗效。借助手术显微镜将鼓膜造孔管置于紧张部的鼓膜切开术切口中。术后所有病例的临床症状迅速缓解，在随访8、6和4个月时所有病例均无症状。本研究结果表明，鼓膜造孔管可提供持续的鼓室通气和引流，对于原发性分泌性中耳炎的治疗可能是一种可接受的替代反复鼓膜切开术的方法。
