de Matos Ricardo, Ruby Jennifer, Van Hatten Ruth A, Thompson Margret
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853.
J Am Vet Med Assoc. 2015 Feb 1;246(3):336-43. doi: 10.2460/javma.246.3.336.
To describe and compare CT abnormalities of the middle ear in rabbits (Oryctolagus cuniculus) that had clinical or subclinical middle ear disease and to determine the prevalence of otitis media and evaluate the role of predisposing factors for otitis media in that species.
Retrospective case series.
88 domestic rabbits.
Medical records for rabbits that underwent CT of the head in June 2007 through February 2014 were searched and classified on the basis of reason for head CT (i.e., ear-related disease vs non-ear-related disease). The ears, upper respiratory tract, teeth, and other important structures of each rabbit's head were evaluated. Follow-up information was obtained for rabbits with CT abnormalities of the middle ear without clinical signs (i.e., subclinical disease).
12 of 21 (57%) rabbits with clinical signs of ear disease and 18 of 67 (27%) rabbits without clinical signs of ear disease had CT abnormalities of the middle ear. In CT images, all affected ears had soft tissue-attenuating material within the tympanic bulla. Tympanic bulla lysis was associated with clinical middle ear disease. Most (12/18) rabbits with subclinical middle ear disease remained subclinical after CT examination. Middle ear CT-detected changes and lop-ear conformation or otitis externa were strongly correlated; middle ear disease and upper respiratory tract disease were not correlated.
Data suggested that subclinical otitis media frequently affects rabbits, and those with bulla lysis should be closely monitored. Lop-eared rabbits and rabbits with otitis externa had a higher risk of developing otitis media.
描述并比较患有临床或亚临床中耳疾病的家兔(穴兔)的中耳CT异常情况,确定中耳炎的患病率,并评估该物种中耳炎诱发因素的作用。
回顾性病例系列研究。
88只家兔。
检索2007年6月至2014年2月期间接受头部CT检查的家兔的病历,并根据头部CT检查的原因(即耳部相关疾病与非耳部相关疾病)进行分类。对每只家兔的耳朵、上呼吸道、牙齿及头部其他重要结构进行评估。对中耳CT异常但无临床症状(即亚临床疾病)的家兔获取随访信息。
21只出现耳部疾病临床症状的家兔中有12只(57%),67只无耳部疾病临床症状的家兔中有18只(27%)存在中耳CT异常。在CT图像中,所有受影响的耳朵鼓泡内均有软组织衰减物质。鼓泡溶解与临床中耳疾病相关。大多数(18只中的12只)患有亚临床中耳疾病的家兔在CT检查后仍为亚临床状态。中耳CT检测到的变化与垂耳形态或外耳炎密切相关;中耳疾病与上呼吸道疾病无关。
数据表明亚临床中耳炎经常影响家兔,对鼓泡溶解的家兔应密切监测。垂耳兔和患有外耳炎的家兔患中耳炎的风险更高。