Dr. Lera (Dr. Lara in the video) demonstrates otic ear packing for a dog named Wally who has chronic ear and skin infections driven by food and seasonal allergies. She describes prior use of multiple topical medications, performing an ear culture to identify bacterial or yeast organisms and their sensitivities, and then demonstrates packing the ear with a combined medication mixture (chlorotrimazole, mupirocin, silver sulfadiazine, and triamcinolone). The pack is intended to sit in the ear and be replaced regularly (typically every 4–5 days); the procedure is presented as a veterinary clinic procedure rather than a routine home treatment.
Questions this video answers
Chlorotrimazole, mupirocin, silver sulfadiazine, and triamcinolone.
Typically every 4–5 days (at least every five days, sometimes every four days).
Chapters
Hey guys. Dr. Lara here as well as Wally. Wally wanted to sit down for the video because he's a good boy. And so the, the topic of the video today is going to be ear packing and ear infections. And so Wally is a dog who's been having chronic ear issues, chronic allergies. And so he has a combination of both food allergies and seasonal allergies. And this is something that a lot of times can manifest in a number of different ways. Wally's main symptoms are having major skin infections and ear infections. He doesn't always get them both at the same time, but when he does, he chooses no he. So when he gets ear infections, we have gotten to the point where we've tried multiple medications or ear medications. Those didn't seem to work. We did what was called the culture where we go ahead and we grow the bacteria that's in his ear or the yeast that's in his ear to see what kind of organism it actually is. And then what we do is we try to figure out, don't get crazy. We try to figure out which antibiotics I should respond to. Now the issue is sometimes with these patients, the traditional medications, it only stays in the ear for like a day or two. And it doesn't really take care of the organisms the way that it should if they're having, if there's a special kind of organism that is resistant to the most common medications. As you can see, Wally's allergies at work. So he's licking his feet and that is something that he is well known for. He does have a history of wearing a cone a lot of the time to keep him from going at his feet. And so Wally, behave. You got to leave your stuff alone. Okay, so now I'm going to show you guys this ear packing stuff. I apologize. This, what it is is it's a combination of medications called chlorotrimal, mupirocin, silver sulfadiazine and triamcinolone. Now these particular medications, you have some antifungals, you have some antibiotics, and then you also have an anti inflammatory or steroid. So what we're going to do is we're going to go ahead and put this into each one of his ears. And what we are going to do is we are going to let this sit there. This usually has to be packed when using this kind of stuff, has to be packed at least every five days, sometimes every four days. It just depends on how bad the ears look and what the progression is. So we're going to go ahead, we're going to put this in the right ear to start off with. Sometimes it can be a little bit uncomfortable. It's a small amount for a dog, but nonetheless, it's something that we try to go ahead and be as gentle as possible. So this is not something that you're usually going to do at home. So what's going to happen is we're going to come over here and then I'm going to come over here and let's see here. We're going to go ahead. Okay, there you go. And so we'll just kind of go ahead and massage that in there. And then what we're going to do is we're going to go ahead, take a look, measure. Let's leave the other one for the Spanish channel. Perfect. All right, Abraham. Always keeping me on point, guys. Thanks for watching. If you guys have any questions about this particular video, leave it in the comment box. If you found this video helpful, please give us a thumbs up. Subscribe and thanks for watching. Take care and be safe.
