Topical treatment in OE with no TM

Re: Topical treatment in OE with no TM

Kara Gibson — Wed, 30 Jul 2014 04:23:06 GMT

I've had a very stubborn Malassezia otitis in an ear with a ruptured TM before - I used Canesten as per Chris' advice and Klearotic ear cleaner (Dechra product) which is a brilliant ceruminolytic which is safe in the middle ear (I heard about this from a Sue Paterson webinar in which she showed some research that squalene - the ingredient in Klearotic, is safe in the middle ear). I also had to use steriods as allergy was the underlying problem and I suspected Malassezia hypersensitivity also. I find Malacetic actually quite irritant to ears particularly if they are already sore.

Re: Topical treatment in OE with no TM

ChrisBVSc — Tue, 29 Jul 2014 12:15:56 GMT

I phoned a referral dermatologist about a similar case a couple of years ago with a ruptured TM, and they recommended Canesten solution - seemed to do the job & didn't cause any problems.

Re: Topical treatment in OE with no TM

John Flynn — Tue, 29 Jul 2014 12:04:46 GMT

I'd drop the boric acid, but otherwise that would be my thoughts.

2.5% acetic acid has been demonstrated safe in presence of TM rupture to my knowledge.

Needs cleaned out well.

Also: the occasional dog with marked PUPD on preds seems to be unaffected this way with methylpred.