Peer-reviewed veterinary case report
Ear cleaning: the UK and US perspective.
- Journal:
- Veterinary dermatology
- Year:
- 2004
- Authors:
- Nuttall, Tim & Cole, Lynette K
- Affiliation:
- University of Liverpool Department of Veterinary Clinical Science · United Kingdom
Plain-English summary
Cleaning your pet's ears is important for keeping them healthy and can help treat ear infections (otitis). However, if done too often or incorrectly, it can actually cause problems, like irritation of the skin inside the ear. Simple cleaning can help with regular maintenance, but it might not remove stubborn debris. More thorough cleaning methods, which may require anesthesia, are available for serious cases. While there are many cleaning solutions, it's crucial to choose the right one, especially if your pet has any ear damage, as the wrong product can lead to serious complications. Overall, ear cleaning can be beneficial, but it should be done carefully to avoid potential issues.
Abstract
Ear cleaning helps maintain the normal otic environment and is important in the treatment of otitis. Over cleaning, however, may trigger otitis through maceration of the epidermal lining. Simple manual cleaning is useful for routine cleansing but doesn't remove tightly adherent debris. Bulb syringes are more vigorous but may damage the ear in inexperienced hands. Devices using mains water pressure or dental machines are also available. Thorough cleaning of the ear canals and middle ear cavity can only be achieved by retrograde flushing using specially adapted catheters, feeding tubes or video otoscopes under anaesthesia. Myringotomy, inspection and cleaning of the middle should be performed if the tympanic membrane appears abnormal. There are a wide variety of cleaning fluids available. Ceruminolytics soften and dissolve cerumen to facilitate cleaning. Surfactants emulsify debris, breaking it up and keeping it in solution. Astringents dry the ear canal surface, preventing maceration. Maintaining a low pH and incorporating antimicrobial agents can inhibit microbial proliferation and glucocorticoids can be used to reduce inflammation. Adverse effects and contraindications following ear cleaning can include maceration, contact reactions, otitis media, ear canal avulsion, vestibular syndrome, Horner's syndrome, facial nerve paralysis and deafness. Care should be exercised in selecting cleaning fluids if the tympanic membranes are ruptured.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/15030561/