Small Animal Dermatology, 3rd edition

(Tina Sui) #1

chapter 37 Otitis Externa, Media, and Interna..........................


DEFINITION/OVERVIEW


 Otitis externa: inflammation of the external ear canal; includes anatomic structures


of the pinna, horizontal and vertical canals, and the external wall of the tympanic
membrane.

 Otitis media: inflammation of the middle ear; includes anatomic structures of the


medial wall of the tympanic membrane, bulla (tympanic cavity), auditory ossicles,
and auditory tube.

 Otitis interna: inflammation of the inner ear; includes anatomic structures of the


cochlea, semicircular canals, and associated nerves (cranial nerves VII and VIII).


 Terms are descriptions of clinical signs, not diagnoses.


 Ototoxicity: impairment or damage of the inner ear and/or eighth cranial nerve; neu-


rotoxicity (specifically during treatment of otitis externa/media) damage of the eight
cranial nerve.

ETIOLOGY/PATHOLOGY


 External ear canal:
Auricular cartilage: funnel-shaped structure that creates the pinna and the prox-


imal section of the vertical canal
Annular cartilage overlaps with the auricular cartilage and extends to the exter-

nal wall of the tympanum
Auricular projection: a fold of cartilage in the vertical canal near the junction

with the horizontal canal; must be displaced dorsally to gain access to the hori-
zontal canal
Sebaceous glands and modified apocrine glands (cerumen glands) line the canal

and produce a secretion with varying amounts of lipid (higher levels in dogs
with otitis externa); increased density of cerumen glands associated with predis-
position to otitis externa

Blackwell’s Five-Minute Veterinary Consult Clinical Companion: Small Animal Dermatology, Third Edition.
Karen Helton Rhodes and Alexander H. Werner.
©2018 John Wiley & Sons, Inc. Published 2018 by John Wiley & Sons, Inc.


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