Riverdale Veterinary Dermatology offers VIDEO OTOSCOPY for the SURGICAL MANAGEMENTofOTITIS 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.
(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)
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
• 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.