Published March 8, 2023 | Version v1
Journal article Open

PROTOCOL FOR DIAGNOSIS, TREATMENT AND SUBSEQUENT CARE OF PRIMARY SECRETORY OTITIS MEDIA IN CAVALIER KING CHARLES SPANIELS

  • 1. Multidisciplinary Veterinary Clinic Bulgaria, Sofia, Bulgaria

Contributors

  • 1. University of Forestry

Description

Primary Secretory Otitis Media in the Cavalier King Charles Spaniel is a rare and complex disorder. However, using a well established protocol, including well established procedures, modern day imaging tech-nology, precise treatment and adequate post-treatment care can lead to a high rate of successfully dissipated symptoms and long-term well-being our the patients. The suggested protocol is based on 14 examined patients in a 1 year time period. It includes otoscopic examination, cytology, culture and sensitivity testing, magnetic resonance imaging, viodeootoscopy, deep ear cleaning, myringotomy, educating the owners, owners’ feedback, subsequent therapy and long-term follow up. The study concludes that MRI and educating the owners are two extremely important tools that should not be overlooked. Additionally, further research with the addition of DNA analysis is needed.

Files

vol-7-2_2022-95-103.pdf

Files (588.5 kB)

Name Size Download all
md5:6367089a3d43a348d67ba25b7fa4803a
588.5 kB Preview Download

Additional details

Related works

Is documented by
Journal article: https://scij-tmvm.com/vol./vol.7/2/vol-7-2_2022-95-103.pdf (URL)

References

  • Ancot F, Lemay P, Knowler SP, et al. (2018). A genome-wide association study identifies candidate loci associated to syringomyelia secondary to Chiari-like malformation in Cavalier King Charles Spaniels. BMC Genet. 19(1):16. doi:10.1186/s12863-018-0605-z https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC5865342.
  • Bolder, N. (2015). Primary Secretory Otitis Media (PSOM) in the Cavalier King Charles Spaniel. Masters thesis, Utrecht University, Netherlands, https://cavalierhealth.org/
  • Brooke, S. https://www.mspca.org/angell_services/primary-secretory-otitis-media-psom/.
  • Burrows, M. (2008). Primary secretory otitis media (PSOM) of Cavalier King Charles spaniels. ACVS proceedings. 36–38.
  • Cole LK. (2010). Anatomy and physiology of the canine ear. Vet Dermatol; 221–231.
  • Cole LK. (2017). Primary secretory otitis media. 3-th NAVDF Procceding; 381–83.
  • Cole LK, Kwochka KW, Kowalski JJ et al. (1998). Microbial flora and antimicrobial susceptibility patterns of isolated pathogens from the horizontal ear canal and middle ear in dogs with otitis me-dia. J Am Vet Med Assoc; 212: 534–538.
  • Cole, LK Nuttall T. (2021). When and how to do a myringotomy – a practical guide. Veterinary Dermatology. https://doi.org/10.1111/vde.12966
  • Cole, LK, Rajala‐Schultz, P. J., Lorch, G., Daniels, J. B. (2019). Bacteriology and cytologyof otic exudates in 41 cavalier King Charles spaniels with primary secretory otitis media. Veterinary Der-matology, 30(2), 151-e44. https://doi.org/10.1111/vde.12724.
  • Cole LK, Samii VF, Wagner SO et al. (2015). Diagnosis of primary secretory otitis media in the cavalier King Charles spaniel. Vet Dermatol; 26: 459–466, e106–e107
  • Hayes GM, Friend EJ, Jeffery ND. (2010). Relationship between pharyngeal conformation and otitis media with effusion in Cavalier King Charles spaniels. Vet Rec; 167: 55–58.
  • Marino J, Loughini CA. (2012). Treatment of primary secretory otitis media with myringotomy in dogs with Chiari- like malformation:21 dogs (28 bullae) with 24 month follow – up. Vaterinary Dermatology; 23, p. 34
  • Matsuda, H., Tojo, M.Fukui, K.Imori. (1984). The aerobic bacterial flora of the middle and external ears in normal dogs. Journal of Small Animal Practice, 25(5), 269–274. https://doi.org/10.1111/j.1748-5827.1984.tb03390.x.
  • Maroldi R, Farina D, Palvarini L et al. (2001). Computed tomography and magnetic resonance im-aging of pathologic conditions of the middle ear. Eur J Radiol; 40: 78–93. 13.
  • McGuinness SJ, Friend EJ, Knowler SP, et al. (2013). Progression of otitis media with effusion in the Cavalier King Charles spaniel. Vet Rec; 172: 315–316.
  • Miller WH, Griffin CE, Campbell KL et al. (2013). Muller and Kirk's Small Animal Dermatology, 7th edn. St Louis, MO: Elsevier Mosby: 741–766.
  • Nuttall T, Cole LK. (2004). Ear cleaning: the UK and US perspective. Vet Dermatol; 15: 127–136.
  • Nuttall T, Bensignor E. (2014). A pilot study to develop an objective clinical score for canine otitis externa. Vet Dermatol; 25(6):530–7, e91-2. doi: 10.1111/vde.12163. Epub PMID: 25130194.
  • Owen MC, Lamb CR, Lu D et al. (2004). Material in the middle ear of dogs having magnetic reso-nance imaging for investigation of neurologic signs. Vet Radiol Ultrasound; 45: 149–155. 14.
  • Reinbacher E, Kneissl S, Hirt R et al. (2020). Myringotomy in dogs: contamination rate from the external ear canal – a pilot study. Vet Anim Sci; 10: 100125.
  • Stern-Bertholtz W, Sjöström L, Håkanson NW. (2003). Primary secretory otitis media in the Cava-lier King Charles spaniel: a review of 61 cases. J Small Anim Pract.; 44(6):253–6. doi: 10.1111/j.1748-5827.2003.tb00151.x. PMID: 12831101.
  • Tater KC, Scott DW, Miller WH et al. (2003). The cytology of the external ear canal in the normal dog and cat. J Vet Med A Physiol Pathol Clin Med; 50: 370–374.
  • Thofner MS, Stougaard CL, Westrup U, et al. (2015). Prevalence and heritability of symptomatic syringomyelia in Cavalier King Charles Spaniels and Long-term Outcome in Symptomatic and Asymptomatic Littermates. J Vet Intern Med; 29: 243–250.