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无切除的外伤性耳廓与环状软骨分离的治疗:五只犬的结果

Treatment of traumatic separation of the auricular and annular cartilages without ablation: results in five dogs.

作者信息

Boothe H W, Hobson H P, McDonald D E

机构信息

Department of Veterinary Small Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, USA.

出版信息

Vet Surg. 1996 Sep-Oct;25(5):376-9. doi: 10.1111/j.1532-950x.1996.tb01430.x.

Abstract

Five dogs were diagnosed as having unilateral separation of the otic cartilages (auricular and annular). Four dogs had sustained prior trauma (hit by a car). Clinical signs were typical of ear canal stenosis and included swelling at the base of the ear (n = 2), periotic fistulation (n = 2), head tilt toward the affected side (n = 2), and pain when opening the mouth (n = 1). Palpation revealed separation of the horizontal and vertical ear canals. Otoscopic findings included a shallow ear canal and a pseudotympanic membrane across the proximal end of the auricular cartilage. Findings at surgery confirmed the diagnosis of cartilage separation and included an exudate-filled horizontal ear canal and a blind-ending vertical ear canal. Surgical treatment involved isolating the distal end of the annular cartilage (horizontal ear canal), opening and evacuating the horizontal ear canal, and suturing the open end of the annular cartilage to the skin. The length of annular cartilage was variable among the dogs, although each dog had sufficient horizontal canal to appose skin to otic epithelium. The vertical ear canal was not surgically dissected or manipulated. The mean follow-up period was 46 +/- 14 months (range, 31 to 68 months). All five dogs had patent horizontal ear canals when examined at the follow-up examination.

摘要

五只狗被诊断为患有耳软骨(耳廓和环状软骨)单侧分离。四只狗之前受过外伤(被车撞)。临床症状为典型的耳道狭窄,包括耳根肿胀(n = 2)、耳周瘘管形成(n = 2)、头向患侧倾斜(n = 2)以及张口时疼痛(n = 1)。触诊发现水平耳道和垂直耳道分离。耳镜检查结果包括耳道浅以及横跨耳廓软骨近端的假鼓膜。手术所见证实了软骨分离的诊断,包括充满渗出液的水平耳道和盲端的垂直耳道。手术治疗包括分离环状软骨(水平耳道)的远端,打开并清空水平耳道,以及将环状软骨的开口端缝合至皮肤。尽管每只狗都有足够的水平耳道将皮肤与耳上皮贴合,但环状软骨的长度在狗之间有所不同。垂直耳道未进行手术解剖或处理。平均随访期为46±14个月(范围31至68个月)。随访检查时,所有五只狗的水平耳道均通畅。

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