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The otoscopic examination can be facilitated by giving patients a short course of oral glucocorticoids (e.g., 1 mg/kg prednisone/prednisolone q24h) to help reduce pain and inflammation. A common cause for acute otitis externa is foreign bodies (e.g., grass awns).
Treatment of Otitis Externa in Animals. Manage underlying causes of otitis externa. Select antimicrobials based on history and cytology. Successful treatment of otitis externa requires owner compliance, management of inflammation, directed antimicrobial therapy, and workup of the underlying cause.
There are 5 general goals of otitis externa treatment: Resolve discomfort and pain. Remove debris and discharge. Eliminate infection from the external and middle ears. Reverse chronic pathologic changes, when possible. Identify and treat the primary cause of the otitis. Topical Therapy
Otitis therapy consists of identifying and controlling all the factors involved and considering medical options, including topical and systemic therapy; these should be co-adjuvated by ear cleaning and, when needed, by ear flushing. Length of treatment and prognosis varies based on causes and factors.
3 Νοε 2003 · Bacteria, yeast, ear mites, and allergies can all cause otitis externa. Addressing this problem involves four steps: Cleaning the ear canal thoroughly to remove excessive ear wax and other debris. Applying medication into the ear canal. Allowing your veterinarian to re-examine the ear until the infection is cleared.
Dogs that have recurring bacterial inflammation of the external ear and a history of infection with ear mites should be treated with a topical product that contains antibacterial and antiparasitic drugs to ensure that any parasitic infections are eliminated.
Most cases of acute otitis externa can be managed with ear cleaning and use of an appropriate topical antimicrobial/glucocorticoid product. However, recurrent or chronic cases require a more thorough approach to achieve resolution and prevent relapses (Figure 1).
