Moissonnier Pierre H M, Blondel Margaux, Manou Maria, Viguier Eric
1Surgery Department, VetAgroSup Veterinary Campus, Marcy l'Etoile, France.
2Surgery Department, National School of Maisons Alfort, Maisons Alfort, France.
J Am Vet Med Assoc. 2022 Apr 28;260(8):892-898. doi: 10.2460/javma.21.01.0054.
To analyze the results of transoral ventral bulla osteotomy (TOVBO) in cats.
13 client-owned cats treated by TOVBO between February 2016 and February 2019.
Medical records of cats with a diagnosis of middle ear disease (MED) that underwent TOVBO were reviewed. The procedure was similar to the one described for dogs. Short-term follow-up was obtained via clinical examination before discharge and at day 15 postoperatively. Long-term follow-up was performed via telephone interview.
13 cats (age range, 8 months to 12 years) underwent unilateral (n = 10) or bilateral (3) TOVBO (16) for the treatment of tympanic bulla (TB) infection (10), nasopharyngeal inflammatory polyps (5), or bullet retrieval from the TB (1). There were no intraoperative complications. One cat with a poor preoperative status died at postoperative day 3 from pneumonia. Eight cats experienced postoperative complications including head tilt (n = 2), Horner syndrome (3), loss of appetite (2), and temporary blindness (1). Collected samples confirmed the presence of nasopharyngeal inflammatory polyps (5), or otitis media (8). Six months after surgical intervention, 9 cats were free of MED signs.
This oral approach provided a good access to the TB in all cases. The complications observed after TOVBO were similar to those for VBO. In cats, TOVBO seems to be an acceptable and safe minimally invasive alternative to the other approaches of the TB to address MED.
分析经口腹侧鼓泡切开术（TOVBO）治疗猫的效果。
2016年2月至2019年2月期间接受TOVBO治疗的13只客户拥有的猫。
回顾诊断为中耳疾病（MED）并接受TOVBO治疗的猫的病历。该手术与描述的犬用手术相似。出院前及术后第15天通过临床检查进行短期随访。通过电话访谈进行长期随访。
13只猫（年龄范围8个月至12岁）接受单侧（n = 10）或双侧（3）TOVBO（共16次手术），用于治疗鼓泡（TB）感染（10例）、鼻咽炎性息肉（5例）或从TB取出子弹（1例）。术中无并发症。1只术前状态较差的猫术后第3天死于肺炎。8只猫出现术后并发症，包括头部倾斜（n = 2）、霍纳综合征（3例）、食欲不振（2例）和暂时性失明（1例）。采集的样本证实存在鼻咽炎性息肉（5例）或中耳炎（8例）。手术干预6个月后，9只猫无MED体征。
这种经口入路在所有病例中都能很好地进入TB。TOVBO术后观察到的并发症与VBO相似。在猫中，TOVBO似乎是治疗MED的一种可接受且安全的微创替代TB的其他方法。
