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Otitis Externa
Otitis externa is the medical term for an inflammation of the
external ear canal. The ear canal in dogs in cats is L shaped,
meaning there is a vertical ear canal and a horizontal ear
canal. This unique anatomy inhibits the airflow into the ear
canal and makes it hard for dirt and debris to be flushed out.
This also holds moisture in the ear canal which can cause
problems. In severe cases the eardrum may rupture and cause a
missile ear and/or inner ear infection as well. In the worst
case this can cause permanent facial nerve paralysis, head
tilting , or loss of balance. Otitis externa can occur in any
animal, and can there are many different causes. The most common
are, breeds of dogs with large droopy ears, underlying immune
disorders such as allergies or hypothyroidism, moisture from
bathes or swimming and excessive oil and ear wax secretion. Dogs
with excessive hair growth in the ear canal are also prone to
otitis externa.
The three main infectious agents involved in otits externa are, bacteria, ear mites and yeast. Otits externa
is usually noticed when your pet starts shaking his head
violently and pawing or scratching at his ears. Dogs may even
yelp when their ears are petted and some dogs will have a reflex
leg thump when there ears are manipulated. Other clinical signs
are yellow discharge or dark brown waxy build up, red inflamed
ear pinna and a foul or yeasty odor coming from the ear.
Diagnosis is usually fairly straight forward and can be done
right at the veterinary clinic. An otoscopic exam can be done to
rule out a mass or foreign body. And a simple smear and
examination with a microscope can differentiate between yeast,
bacteria or mites, sometimes it is necessary to obtain a
bacterial culture to see what antibiotic of choice is
appropriate in cases that are refractory to treatment. In
chronic ear infections blood tests may be necessary to rule out
underlying medical conditions such as allergies or
hypothyroidism for cause of the otits externa. In straight
forward cases, flushing with a cleansing antiseptic agent and
application of the appropriate topical medication may be all
that is necessary to clear the infection. In dogs with excessive
hair growth in the ear canal the veterinarian may choose to
pluck the hair to allow the ear canal to dry and to aid in the
application of the medication. Sometimes oral antibiotics or
antifungals will be prescribes in more serious cases and in
cases that are secondary to another medical condition the
primary condition will be treated concurrently while treating
the otitis externa. In general most common cases of otits can be
prevented or limited in severity by instituting a few simple
management techniques. Use a cleaning/drying agent after
swimming or bathing your pet. Have your groomer or vet pluck
excess hair from the ear canal. Routinely clean your dogs ear
with an appropriate ear cleaning solution and visually check you
dogs ear for any unusual buildup. A lot of that "doggy" odor
that you smell when interacting with your dog comes from the
ears so keeping your dogs ears clean and fresh will benefit
their health and make your time spent with your dog more
pleasant.
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