Tympanotomy for otitis media treatment in a German Shepherd dog

Ear disease is one of the main problems in small animal feld. The various therapies have been recommended for ear disease. Medical treatment is sometimes are insuffcient and the response is not curative, therefore, surgical treatment is suggested. An eleven-year-old, German shepherd dog weighing 27 kg with weakness, loss of appetite and left side head tilt had been referred to small animal clinic. During nine months period, several courses of medications had been prescribed for this patient but all the medical treatments were unsuccessful. According to patient signalment, surgical treatment was suggested. After patient and operation team preparation, anesthesia was induced and the surgical procedure was carried out with vertical and horizontal canal ablation. Lateral bulla osteotomy was performed using surgical hand-peice. The copious irrigation was done and plate-form pus organized removed from floor of bulla and the Incision lines were sutured routinely. After 48 hours of supportive treatment, clinical signs improved and the patient returned to normal life. One year follow-up showed no head tilt.