The Derm Vet

Otitis can occur from things BESIDES allergies. This dog has a history of bilateral otitis that was indeed from allergies. However, the left ear started being significantly worse than the right.

Things change... and this dog decided to develop a mass in the left ear. No matter how many ear drops you stuff into the ear canal... the infection will keep coming back if the mass doesn’t go away.

A polypectomy snare was used through the video-otoscopy unit to “lasso” the mass out and it came out in four different pieces.

The mass ended up originating from the middle ear. After removal, a lot of thick discolored material was removed from the bulla and submitted for culture. Since the mass had been present for awhile, a secondary otitis media developed.

You can appreciate the stenosis in the horizontal canal in the “after” picture and ruptured tympanum. We are using oral steroids to help open up the canal and will treat with oral antibiotics based on C/S results. Make sure to look deeper when clinical signs start to worsen or change!

This sweet girl has a Twofer... two different skin diseases.
Years ago, she was biopsied with vasculitis but already had ongoing atopic dermatitis. Luckily, Apoquel has been helpful in managing both diseases! She has stable for a few years now and I always love when she comes into the clinic... I think about to where she started.