Eb. Davidson et al., REMOVAL OF A CHOLESTEATOMA IN A DOG, USING A CAUDAL AURICULAR APPROACH, Journal of the American Veterinary Medical Association, 211(12), 1997, pp. 1549
A new surgical method for treating cholesteatoma in dogs is described.
Although rarely reported in dogs, cholesteatomas may be more common t
han previously believed. Complete excision of a cholesteatoma is assoc
iated with low recurrence and good long-term prognosis. Surgical inter
vention, with total ear canal. ablation and lateral bulla osteotomy, h
as been recommended in dogs with tumors of the middle ear; however, th
is technique often results in conductive hearing loss. Through a cauda
l auricular approach to the tympanic bulla, we were able to preserve t
he external ear canal, reconstruct the auditory ossicles, and graft th
e tympanic membrane. Results of brain stem auditory-evoked response te
sts in the dog revealed intact conduction potentials. A caudal auricul
ar approach to the tympanic bulla is technically possible, preserves n
ormal appearance, and may maintain, or even improve, hearing conductio
n of affected ears in dogs.