Riverdale Veterinary Dermatology              
                 offers VIDEO OTOSCOPY for the SURGICAL
                  MANAGEMENT of OTITIS MEDIA and
                              CHRONIC OTITIS EXTERNA

Video Otoscopy offers superior optics and magnification to provide greater detail for evaluating the condition of the external canal, tympanum, and bullae.

       OTITIS MEDIA IS A SURGICAL DISEASE

1.   Otitis Media is present in approximately 82% of patients
       with chronic and  recurrent otitis externa of greater than
       6 months duration.
2.   The leading cause of treatment failure in otic disease is
       unrecognized concurrent otitis media.



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 REFERRAL SERVICE FOR AREA VETERINARIANS

                (Cases may be referred for medical and/or
                        surgical management options)

1.    Initial consultation with a follow-up appointment for
        surgical /medical management
2.    Referred specifically for surgical otoscopy with return
        of the case to your office for medical management
        (pre-anesthetic bloodwork necessary/ pre-sx consult)



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        INDICATIONS FOR SURGICAL/ANESTHETIC
                            VIDEO OTOSCOPY

1.    Chronic recurrent ear infections
2.    Purulent otitis externa/media
3.    Evaluation of a painful ear
4.    Bulging or abnormal tympanum:
        (may indicate need for myringotomy)
5.    Polyps/ otic masses
6.    PSOM (primary secretory otitis media):
        primarily Cavalier King Charles Spaniels
7.    Clinical signs of otitis media:
        facial nerve palsy, Horner’s Syndrome,
        conductive hearing loss
8.    Clinical signs of otitis interna: ataxia, horizontal
        or rotary nystagmus (fast away from the affected ear),
        strabismus, head tilt toward affected side, circling
        toward affected ear, neurologic hearing loss
    (as documented with Brainstem Auditory Evoked Response)
9.    Final diagnostic/therapeutic option prior to total ear
        canal ablation (TECA)



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             ADVANTAGES OF VIDEO OTOSCOPY
              EVALUATION UNDER ANESTHESIA

1.    Otitis media is always a surgical disease
2.    Able to manipulate the canal and evaluate the patency and
         health of the proximal horizontal canal
3.    Evaluate the tympanum and extent of disease into the
         middle ear/ may require myringotomy (puncture of the
         pars tensa to remove fluid pressure behind the
         tympanum and evaluate bullae content)
4.    Removal of exudate to allow for appropriate medication of
         the bullae and proximal canal (flush and suction with
         infusion of medication directly via catheter into the deep
         canal)
5.    Samples for cytologic evaluation and culture/sensitivity
         are obtained from the ventral bullae (the organism
         and/or antibiotic sensitivity of bacteria obtained from
         the middle ear may differ as much as 89.5% from
         sample collection from the external canal)
6.    Removal of chloesteatoma (congenital or result of chronic
         otitis media) from the middle ear cavity
7.    Last diagnostic/therapeutic step prior to TECA



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ANESTHETIC VIDEO OTOSCOPY/ MYRINGOTOMY

•    IMPROVED VISUALIZATION
•    ENHANCED FLUSHING AND DEBRIS REMOVAL
•    PRECISE SAMPLE COLLECTION: CYTOLOGIC SAMPLE/CULTURE
     & SENSITIVITY FROM THE DEEP CANAL (BULLAE)/BIOPSY
•    MYRINGOTOMY
•    INCREASED ACCURACY OF DIAGNOSIS
•    SPECIFIC THERAPEUTIC PLAN
•    PHOTOGRAPHIC RECORDING FOR THE PATIENT RECORD
•    OUT PATIENT PROCEDURE




*Note for Referring Veterinarians

We are available to perform video otoscopy for your patients to facilitate specific diagnostic & therapeutic care.  Riverdale Veterinary Dermatology is available to  handle the case from “start to finish” or will function as a surgical adjunct for your practice.