Severe reaction after polyp ear removal in a cat

RE: Severe reaction after polyp ear removal in a cat

Gillian Mostyn — Wed, 17 Mar 2021 08:53:42 GMT

[quote userid="6353" url="~/001/veterinary-clinical/small-animal/f/misc-clinical-discussions/29725/severe-reaction-after-polyp-ear-removal-in-a-cat/229077#229077"]In which case treatment to hasten the separation of necrotic tissue yes, antibiosis yes, but steroid....?[/quote]

I agree that tissue necrosis is a real possibility. In which case the dead tissue is now acting as a foreign body, so steroids should help with the inflammation while waiting for the extent of the damage to become apparent. It is the degree of self trauma that would really concern me, and steroids should help with that?

RE: Severe reaction after polyp ear removal in a cat

Utlendigur — Tue, 16 Mar 2021 22:10:53 GMT

17 also sounds elderly for a nasopharyngeal/inflammatory polyp - would be worried re possible aggressive neoplasia.

RE: Severe reaction after polyp ear removal in a cat

Gillian Mostyn — Sat, 13 Mar 2021 11:18:56 GMT

[quote userid="5904" url="~/001/veterinary-clinical/small-animal/f/misc-clinical-discussions/29725/severe-reaction-after-polyp-ear-removal-in-a-cat/229074#229074"]It's obvious that my persistent pleadings aren't as potent as the former President of the United States, but at least the dogma is turning..........[/quote]

For goodness sake Anthony - most vets never stopped using corticosteroids. They've just stopped using them inappropriately.

RE: Severe reaction after polyp ear removal in a cat

David Mills — Fri, 12 Mar 2021 21:16:13 GMT

If its necrotic, why would the cat rip its own ear open? Surely the definition of pruritis. Dead tissue isn't? particularly (at all?) painful.

RE: Severe reaction after polyp ear removal in a cat

Chris Barker — Fri, 12 Mar 2021 21:11:27 GMT

I'm confused by this case Nasopharyngeal polyps emerging through the tympanum are normally removable by traction. To have to cauterise a broad base to achieve removal suggests another pathology, however polypoid in nature. And I wonder if this is really an infected lesion? Could it be an area of necrosis? I recall one vertical canal ablation on a dog when by overzealous blunt dissection I must have disrupted the arterial supply on the caudal aspect of the auricular cartilage, and I caused a similar lesion/defect to the one pictured. Just wonder whether the electrocautery could have ablated a similar artery...? In which case treatment to hasten the separation of necrotic tissue yes, antibiosis yes, but steroid....?

RE: Severe reaction after polyp ear removal in a cat

Julian Earl — Fri, 12 Mar 2021 17:21:46 GMT

Infected lesions such as this primarily need cleaning up by liberal and repeated flushing. Sterile saline, cheap, no adverse effects, or stuff like Dermisol / Aserbine solutions. When physically clean then antibiosis and steroids if really necessary. If the polyp is on the lateral wall of the vertical canal. a lateral wall aural resection is indication. Once healed it becomes simple to flush and clean in the future should it be necessary. But first things first! Clean the infected area thoroughly first removing debris, pus, and all superficial contamination. Then it looks pink and healthy [ relatively speaking.] the polyp is best removed with surgery when the lateral goes, it cannot recur.

My 2p's worth.

HTH?

RE: Severe reaction after polyp ear removal in a cat

Anthony Todd — Fri, 12 Mar 2021 16:56:14 GMT

It's obvious that my persistent pleadings aren't as potent as the former President of the United States, but at least the dogma is turning..........

RE: Severe reaction after polyp ear removal in a cat

Gillian Mostyn — Thu, 11 Mar 2021 14:35:21 GMT

I agree with the other comments - looks like it needs corticosteroids and antibiotics and to be left well alone for a couple of weeks.

RE: Severe reaction after polyp ear removal in a cat

Michael Woodhouse — Wed, 10 Mar 2021 23:28:19 GMT

Dump the cone and the Surolan, depomedrone and a couple of shots of long acting amoxycillin. See it back in 2 weeks.

I agree cat NEEDS steroids and I have a personal hate of orally medicating cats.

RE: Severe reaction after polyp ear removal in a cat

David Mills — Wed, 10 Mar 2021 21:07:12 GMT

Normally with polyps and anything ears systemic steroids would be first line. Especially after polyp removal.The cat is likely pruritic rather than painful. Start preds, or depo, decent dose (1.5mgkg q24h pred, 0.15mlkg depo at least) and once the inflammation settles this should resolve (although polyp may recur.

Re polyps there's a reported 90pc cure via traction and depo.