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.
541