dermaVet, Oberentfelden.
Tierklinik Aarau West, Oberentfelden.
Schweiz Arch Tierheilkd. 2022 Jun;164(6):447-455. doi: 10.17236/sat00358.
Aural hematoma is the most common injury of the pinna in dogs. Treatment options are various. More recently, medical therapy has been more commonly pursued than surgical options. Therefore, our hypothesis was that monotherapy with oral prednisolone for one month is sufficient to successfully treat dogs diagnosed with aural hematoma. In this open prospective experimental study without control group, clinicians treated 24 privately-owned dogs suffering from aural hematoma with oral prednisolone at 1 mg / kg / day for 14 days, followed by 0,5 mg / kg / day for another 14 days. In case of strong side effects, the dose reduction was already initiated after 7 days of treatment. The success was assessed subjectively after 14 days by the owner and after 28 days by a clinician or specialist. In addition, before and after treatment the thickness of the swelling was measured. In 21 of 24 dogs, oral prednisolone treatment for 28 days lead to a subjective clinical improvement of at least 80 %. The ear thickness was reduced by at least 50 %. This study showed that treating dogs suffering from aural hematoma for four weeks with oral prednisolone used as a monotherapy leads to promising results and could be considered as an economical, non-invasive and safe treatment alternative for aural hematoma in dogs.
耳廓血肿是犬只最常见的耳部损伤。治疗方案多种多样。最近，与手术方案相比，更多地采用了医学治疗。因此，我们的假设是，口服泼尼松龙单药治疗一个月足以成功治疗被诊断为耳廓血肿的犬。在这项无对照组的开放性前瞻性实验研究中，临床医生用 1mg/kg/天的口服泼尼松龙治疗 24 只患有耳廓血肿的私人拥有犬 14 天，然后用 0.5mg/kg/天再治疗 14 天。如果出现强烈的副作用，在治疗 7 天后就已经开始减少剂量。14 天后由主人主观评估治疗效果，28 天后由临床医生或专家评估。此外，在治疗前后测量肿胀的厚度。在 24 只狗中，21 只狗接受了 28 天的口服泼尼松龙治疗，主观临床改善至少达到 80%。耳朵厚度至少减少了 50%。这项研究表明，对患有耳廓血肿的犬进行四周的口服泼尼松龙单药治疗会产生有希望的结果，可被视为犬只耳廓血肿的一种经济、非侵入性且安全的治疗选择。
