TOA
PAYOH VETS
toapayohvets.com
Date:
15 March, 2010
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Focus: Small
animals - dogs, cats, hamsters, guinea pig & rabbits. |
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Toa Payoh
Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures |
LATERAL EAR RESECTION IN A COCKER SPANIEL
Dr Sing Kong Yuen, BVMS
(Glasgow), MRCVS
Date:
15 March, 2010
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CASE 2.
Pictures of a lateral ear resection surgery performed by Dr Sing Kong Yuen
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Left ear before surgery.
Every day for many years, a yellow white ear discharge
oozes out of the right and left ear canals. Head shaking, ear
scratching. Seen a few vets. A very busy owner.
This uncle had no time to clean and check the ears daily
or weekly. He decided. Get the dog put to sleep as the ear
stench was persistent and unbearable even after bathing.
The niece was against the action and took the dog to
consult me. I recommended a lateral ear resection as a
long-term inexpensive solution rather than ear
drops and cleaning every week for the life span of
this dog. |
Left ear prepared for surgery. General
anaesthesia gas. The side wall of the vertical canal is
the rectangular area to be cut away. It is best to mark
the surgical site before surgery. A hole will be
seen at the completion of the surgery. This is the opening of the horizontal canal
after the removal of the side wall (cartilage and
skin). |
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Left ear after
surgery. 7 days after surgery and more drug
treatment, cleaning and washing. The owner may not
be able to nurse the dog if sent home immediately. This
would be one reason for "unsuccessful" ear operation.
Therefore it is mandatory that the dog be retained for
observation for 7-14 days. Cleaning and nursing at the
Surgery rather than permit the dog to go home after
surgery will lead to more satisfactory outcome for the
dog and the owner. |
Right ear before surgery. Cocker Spaniel
warded for 2 weeks of treatment before the ear surgery
can be done. The skin was intensely red, wet and soft,
unlike what you see now. Full of yellowish white raw
skin of infection. Not advisable to operate immediately.
2 weeks' antibiotic and cleaning treatment is the
minimum. |
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Follow-up. The Cocker Spaniel led a ear pain-free
life to old age. Some 2 years later, the
young lady who rescued this dog from death by lethal
injection brought the dog in
for some horizontal canal cleaning.
Other than that,
this dog had no more ear pain, itchiness and scratching
of the neck, face and ears and was no more in pain when
his ears were touched. Nor was he having bad body odour
- I mean ear odour. He lived to an old age
with no painful ear shaking and scratching. Of course,
no more business for the veterinarian too.
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Right ear after surgery. Yellowish white
raw skin areas finally gone away. More normal skin
grows to replace ulcerated skin. At least 4 weeks of
stay at Toa Payoh Vets before the dog can be sent home
in this case. The owner does not know how to take care
of the ears post-operation. |
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Toa
Payoh Vets
Clinical Research |
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