化脓性中耳炎且鼓膜完整的猫咪接受耳轮切开术的临床结果:26 例病例的回顾性研究结果。

IF 1.9 2区 农林科学 Q2 VETERINARY SCIENCES Journal of Feline Medicine and Surgery Pub Date : 2024-09-01 DOI:10.1177/1098612X241275286
Sébastien Deleporte, Amaury Briand, Pascal Prelaud
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引用次数: 0

摘要

病例系列摘要:我们对化脓性中耳炎(OM)和鼓膜完整的猫咪进行了回顾性评估,研究了药物治疗和单次耳轮切开术的疗效。我们从患有化脓性中耳炎的猫咪中提取了患者的病历。根据鼓室积液成像结果、耳内镜检查结果和耳鼓膜渗出物细胞学检查结果,中性粒细胞被纳入这项回顾性研究。共纳入了 26 只患有中耳化脓性耳炎的猫。超过一半的猫咪(54%)表现为双侧受累。临床症状包括头后仰(13/26)、耳痛(9/26)、霍纳综合征(7/26)、外耳流脓(5/26)、眼球震颤和面瘫(1/26)。细胞学检查发现,18/40 的样本中含有球菌,2/40 的样本中含有杆菌。15/40 个样本的细菌培养结果呈阳性,分离出假单胞菌(4/15)、多杀性巴氏杆菌(3/15)、猫葡萄球菌(3/15)、施莱佛葡萄球菌(2/15)、犬葡萄球菌(2/15)、大肠杆菌(2/15)、假中间葡萄球菌(1/15)和侯氏沙雷氏菌(1/15)。在进行耳膜切开术和轻柔冲洗中耳鼓室(每只耳朵 0.5-2 毫升生理盐水)后,所有猫都接受了口服皮质类固醇治疗,并根据药敏测试结果接受了为期 1 个月的全身抗生素治疗。共有 19 只(73%)猫在治疗后 60-240 天临床痊愈。有一只猫因未能根除假单胞菌感染而被安乐死。另一只猫在手术后数小时死亡。其余五只猫在腹侧鼓室截骨术后痊愈:无耳息肉的猫咽鼓管炎是猫的常见诊断,但有关医疗的数据却很少。这种简单的治疗技术--单一耳膜切开术和轻度耳冲洗--为有或无神经症状的猫化脓性鼓室炎提供了实用、安全和高效的一线治疗方法。
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Clinical outcome of cats with suppurative otitis media and intact tympanum submitted to myringotomy: retrospective findings from 26 cases.

Case series summary: The efficacy of medical treatment associated with single myringotomy in cats with suppurative otitis media (OM) and intact tympanum was retrospectively evaluated. Patients' records were retrieved from cats with suppurative OM. Cats were included in this retrospective study based on fluid content within the tympanic cavity on imaging, intact tympanum on otoendoscopic examination and neutrophils on ear bulla exudate cytological examination. A total of 26 cats with middle ear suppurative otitis were included. Just over half of the cats (54%) presented bilateral involvement. Clinical signs included head tilt (13/26), otalgia (9/26), Horner's syndrome (7/26), external ear discharge (5/26), and nystagmus and facial paralysis (1/26). Cocci were identified on cytological examination in 18/40 samples and rods in 2/40. Bacterial culture results were positive in 15/40 samples, with Pseudomonas species (4/15), Pasteurella multocida (3/15), Staphylococcus felis (3/15), Staphylococcus schleiferi (2/15), Staphylococcus canis (2/15), Escherichia coli (2/15), Staphylococcus pseudintermedius (1/15) and Serratia marcesens (1/15) isolation. After myringotomy and gentle flushing of middle ear bullae (0.5-2 ml saline per ear), all cats were treated with oral corticosteroids and a 1-month course of systemic antibiotics according to sensitivity testing. In total, 19 (73%) cats were clinically healed 60-240 days after treatment. One cat was euthanased because of failure to eradicate a Pseudomonas species infection. Another cat died a few hours after the procedure. The five remaining cats were cured after ventral bulla osteotomy.

Relevance and novel information: OM without an aural polyp is a frequent diagnosis in cats, but data on medical treatment are scarce. This simple therapeutic technique, single myringotomy procedure and mild ear flushing, offers a practical, safe and efficient first-line treatment of suppurative OM with an intact tympanum in cats with or without neurological signs.

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来源期刊
CiteScore
3.90
自引率
17.60%
发文量
254
审稿时长
8-16 weeks
期刊介绍: JFMS is an international, peer-reviewed journal aimed at both practitioners and researchers with an interest in the clinical veterinary healthcare of domestic cats. The journal is published monthly in two formats: ‘Classic’ editions containing high-quality original papers on all aspects of feline medicine and surgery, including basic research relevant to clinical practice; and dedicated ‘Clinical Practice’ editions primarily containing opinionated review articles providing state-of-the-art information for feline clinicians, along with other relevant articles such as consensus guidelines.
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