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Peer-reviewed veterinary case report

Dog with painful mouth and head tilt after ear surgery had

By Riedinger, B et al.·Published in The Journal of small animal practice·2012·Small Animal Surgery Department, France·View original on PubMed

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Original publication title: Cholesterol granuloma as long-term complication of total ear canal ablation in a dog.

Species:
dog

Plain-English summary

A 13-year-old cocker spaniel was brought in because he was in pain when opening his mouth. He had a history of ear surgery and showed signs of facial weakness and head tilt, which suggested a complication from that surgery. An MRI showed a large mass in his ear area, and tests revealed it was a cholesterol granuloma (a type of inflammatory growth). The mass was surgically removed, and a drainage system was used for a few days after the operation. Following the surgery, the dog's pain, head tilt, and facial weakness improved, and he was doing well at a check-up nine months later.

People also search for: dog mouth pain after ear surgery · cocker spaniel head tilt treatment · cholesterol granuloma in dogs

Abstract

A 13-year-old cocker spaniel presented with pain on opening the mouth. History of a previous left total ear canal ablation with lateral bulla osteotomy, left intermittent facial palsy and left intermittent head tilt suggested progression of a total ear canal ablation with lateral bulla osteotomy complication. Magnetic resonance imaging revealed a large mass arising from the tympanic bulla. Cytology of aspirates revealed a chronic suppurative inflammatory reaction and numerous cholesterol crystals. The mass was removed by surgical excision and an active drainage system was placed for a few days. The head tilt, facial palsy and apparent pain were resolved by the surgery. Physical examination was unremarkable nine months postoperatively. Bacterial cultures of the collected fluid were negative and histological examination confirmed the diagnosis of a cholesterol granuloma.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22122350/