Guerin V, Hampel R, Ter Haar G
Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, Hawkshead Lane, North Mymms, Hatfield, Herts, AL9 7TA.
J Small Anim Pract. 2015 Oct;56(10):606-12. doi: 10.1111/jsap.12397. Epub 2015 Aug 28.
To describe video-otoscopy-guided tympanostomy tube placement in 12 cavalier King Charles spaniels with middle ear effusion and assess the clinical outcome.
A retrospective review of medical records of cavalier King Charles spaniels diagnosed with middle ear effusion and treated with tympanostomy tubes placement between 2012 and 2014 was performed. Outcome was assessed based on a telephone questionnaire.
Twenty-two tympanostomy tubes were successfully placed in the tympanic membrane in 12 cavalier King Charles spaniels under video-otoscopic guidance using a rigid endoscope and grasping forceps. Follow-up based on an owner questionnaire was available for 11/12 dogs. Subjective improvement in hearing was observed in 9/11 dogs with three dogs achieving normal hearing, according to the owners, and six demonstrating partial improvements. Out of 11 dogs, 10 dogs were reported with improved quality of life. Pruritus of the ears resolved in 3/9 dogs. Clinical signs recurred in four dogs because of tube dislodgement.
Video-otoscopic tympanostomy tube placement appeared to be indicated as a treatment for middle ear effusion in cavalier King Charles spaniels. It subjectively improved hearing, pruritus and quality of life in most dogs. The tympanostomy tubes dislodged in some cases, leading to recurrence of clinical signs, which were effectively eliminated by replacement of a fresh tube.
描述在12只患有中耳积液的骑士查理王小猎犬中，在视频耳镜引导下进行鼓膜置管，并评估临床结果。
对2012年至2014年间被诊断为中耳积液并接受鼓膜置管治疗的骑士查理王小猎犬的病历进行回顾性研究。通过电话问卷评估结果。
在视频耳镜引导下，使用硬性内窥镜和抓取钳，成功地在12只骑士查理王小猎犬的鼓膜上放置了22根鼓膜置管。12只犬中有11只犬可根据主人问卷进行随访。据主人反馈，11只犬中有9只听力有主观改善，其中3只犬听力恢复正常，6只犬部分改善。11只犬中有10只犬的生活质量得到改善。9只犬中有3只犬的耳部瘙痒症状消失。4只犬因置管移位出现临床症状复发。
视频耳镜引导下鼓膜置管似乎可作为骑士查理王小猎犬中耳积液的一种治疗方法。它能主观上改善大多数犬的听力、瘙痒症状和生活质量。在某些情况下，鼓膜置管会移位，导致临床症状复发，更换新管可有效消除症状。
