Page 90 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

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

➜ OPERATIVE TECHNIQUE 5.3 CONTINUED
VetBooks.ir Closure

If desired, place one or two sutures of 2 metric (3/0 USP) rapidly absorbable suture material to appose the deep
tissues, being careful to avoid the facial nerve and external carotid artery. Position the skin to determine the best
method for apposing skin to the incised pinna margin (usually a T- or L-shaped closure). Most surgeons use 2 metric
(3/0 USP) nylon in an interrupted pattern to close the skin.

PRACTICAL TIP PRACTICAL TIP
Subcutaneous sutures, when needed, should only If the canal has ruptured and become abscessed, the
be placed in the ventral portion of the incision surgical site can be managed as an open wound

POSTOPERATIVE CARE

A light bandage (e.g. stockinette) can be placed over the head to limit ear movement and protect the site. Thick or
heavy bandages may result in compression of the airways and subsequent respiratory distress.

PRACTICAL TIP
In animals with bilateral disease, some surgeons stage the procedure to avoid long anaesthetic periods and the
potential increased risk of severe swelling or infection. If bilateral procedures are performed, a change of
instruments and gloves is recommended between sides

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