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Peer-reviewed veterinary case report

Transoral ear surgery outcomes in 13 cats with ear disease

By Moissonnier, Pierre H M et al.·Published in Journal of the American Veterinary Medical Association·2022·1Surgery Department, France·View original on PubMed

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Original publication title: Transoral ventral tympanic bulla osteotomy in cats: 13 cases (2016-2019).

Species:
cat
Brain & nervesCats

Plain-English summary

Thirteen cats with middle ear disease, including infections and inflammatory polyps, underwent a surgery called transoral ventral bulla osteotomy (TOVBO) between 2016 and 2019. Most cats had either one or both ears treated, and while there were some complications like head tilt and loss of appetite, the surgery was generally safe. After six months, nine of the cats showed no signs of middle ear disease. This procedure appears to be a good option for treating these conditions in cats.

People also search for: cat ear infection treatment · cat surgery complications · cat middle ear disease symptoms

Abstract

OBJECTIVE: To analyze the results of transoral ventral bulla osteotomy (TOVBO) in cats. ANIMALS: 13 client-owned cats treated by TOVBO between February 2016 and February 2019. PROCEDURES: Medical records of cats with a diagnosis of middle ear disease (MED) that underwent TOVBO were reviewed. The procedure was similar to the one described for dogs. Short-term follow-up was obtained via clinical examination before discharge and at day 15 postoperatively. Long-term follow-up was performed via telephone interview. RESULTS: 13 cats (age range, 8 months to 12 years) underwent unilateral (n = 10) or bilateral (3) TOVBO (16) for the treatment of tympanic bulla (TB) infection (10), nasopharyngeal inflammatory polyps (5), or bullet retrieval from the TB (1). There were no intraoperative complications. One cat with a poor preoperative status died at postoperative day 3 from pneumonia. Eight cats experienced postoperative complications including head tilt (n = 2), Horner syndrome (3), loss of appetite (2), and temporary blindness (1). Collected samples confirmed the presence of nasopharyngeal inflammatory polyps (5), or otitis media (8). Six months after surgical intervention, 9 cats were free of MED signs. CLINICAL RELEVANCE: This oral approach provided a good access to the TB in all cases. The complications observed after TOVBO were similar to those for VBO. In cats, TOVBO seems to be an acceptable and safe minimally invasive alternative to the other approaches of the TB to address MED.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35358062/