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This Concept Map, created with IHMC CmapTools, has information related to: OTITIS, STEPS IN TREATING concerning TREATING, Otitis externa tx • Resolution often takes up to 3-4 weeks (for the treatment of mites) 2-4 month course of systemic • antibiotics to prevent relapse • (resolution often takes six or more weeks) • Antifungals • Corticosteroids (anti-inflammatory dosage) • Consider flushing ear (s) under general anesthesia • Recheck in 10-14 days • Vestibular signs (head tilt, nystagmus etc), often improve within 2-6 weeks • Owner should be warned that the head tilt and any facial nerve damage or Horner’s Syndrome may remain, treatment of otitis Flushing the Ears -Cerumenolytics emulsify ear wax for easy removal. -Ear flushes aid in removing pus, mucus and serum from the ears. -Drying agents decrease moisture in the ears and dessicate the surface keratinocytes. -Moist ears – use combination cleansing/drying, Externa factors to consider presence of hairs, Otitis ???? Aetiology, Excessive moisture ???? from swimming, foreign bodies grass awns, treatment of otitis CLIENT EDUCATION -imp! -Instruction on cleaning/medicating -Stress importance of re-examination -Early recognition of problem: prompt veterinary attention, Aetiology ???? Externa, Aetiology Media, Treating primary causes CONCERNING, TREATING Looking at Flush ears, • Resolution often takes up to 3-4 weeks (for the treatment of mites) 2-4 month course of systemic • antibiotics to prevent relapse • (resolution often takes six or more weeks) • Antifungals • Corticosteroids (anti-inflammatory dosage) • Consider flushing ear (s) under general anesthesia • Recheck in 10-14 days • Vestibular signs (head tilt, nystagmus etc), often improve within 2-6 weeks • Owner should be warned that the head tilt and any facial nerve damage or Horner’s Syndrome may remain surgical Surgical treatment (save for unresponsive or relapsing infection) Treatment for chronic otitis externa with end stage obstruction: Total ear canal ablation Bullae osteotomy, Factors Include Excessive Moisture, Perpetuating factors Otitis media, DIAGNOSING Looking at Identifying primary cause, Factors Include ???? Bacteria, Yeasts, General distance and physical exam Looking at Identifying primary cause, Otitis ???? treatment of otitis, Diagnosis can physical exam