Page 84 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition
P. 84

Chapter 5 · Surgery of the ear
                                                                                                Chapter 5 · Surger y of the ear



                    ➜  OPERATIVE TECHNIQUE 5.1 CONTINUED
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                    The patient is in lateral recumbency with   An instrument is inserted into the ear canal to identify the position of the vertical canal. A
                    the pinna lying over the head, away from   U-shaped incision is made over the lateral surface of the canal.
                    the surgical site.



















                     ubcutaneous tissues are dissected a ay from the lateral surface of the   To ensure the cuts in the vertical ear canal are in the correct site, it is
                    vertical canal.                                    helpful to score the cartilage  ith a scalpel tip. These marks can then
                                                                       be followed with the scissors (see next image).


















                    The lateral wall of the vertical canal is incised to form the ‘drainage   The distal third of the cartilage flap is transected to complete the
                    board’.                                            ‘drainage board’.

                      PRACTICAL TIP

                      The ‘drainage board’ must lie flat and should not obstruct the horizontal canal. Make sure the base of
                      this flap originates slightly below the midpoint of the horizontal canal circumference. If the flap is
                      calcified, dissect between the epithelium and cartilage and transect the cartilage to make a hinge.
                      The final opening should be circular or slightly ovoid




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         Ch05 HNT.indd   75                                                                                        31/08/2018   10:56
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