{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T22:20:32Z","timestamp":1773613232091,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Record"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>\n                    <jats:bold>Background<\/jats:bold>\n                    : Surgery of the bulla in the dog can be difficult and associated with suboptimal resolution of disease and risk of complications, particularly in treatment of cholesteatoma. We explored use of image guidance and endoscopic assistance in ventral bulla osteotomy (VBO), initially with cadaveric studies and subsequently on dogs with cholesteatoma.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods<\/jats:bold>\n                    : For surgical approach we used cone beam CT with an optical image navigation system. For endoscopic surgery we used 4 mm and 2.7 mm diameter endoscopes and a camera viewing system, with micro\u2010instruments for dissection.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Image guidance allowed us to accurately identify and approach the bulla in cadavers (\n                    <jats:italic>n<\/jats:italic>\n                    = 2) and patients (\n                    <jats:italic>n<\/jats:italic>\n                    = 2). The endoscope enabled us to define detailed endoscopic anatomy in cadaveric canine heads (\n                    <jats:italic>n<\/jats:italic>\n                    = 15), and in patients (\n                    <jats:italic>n<\/jats:italic>\n                    = 5) it enabled reliable and safe removal of pathological tissue.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : Image and endoscopic assistance could be a significant advance to the reliability and safety of VBO. Our techniques may be applicable to other indications and species.\n                  <\/jats:p>","DOI":"10.1002\/vetr.510","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T12:53:15Z","timestamp":1621860795000},"source":"Crossref","is-referenced-by-count":6,"title":["Endoscope and image\u2010guided ventral bulla osteotomy in the dog: A cadaveric and patient study"],"prefix":"10.1002","volume":"189","author":[{"given":"Mahmood F.","family":"Bhutta","sequence":"first","affiliation":[{"name":"Department of ENT Surgery University Hospitals Sussex NHS Foundation Trust  Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda R.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Easter Bush Pathology The Royal (Dick) School of Veterinary Studies and the Roslin Institute University of Edinburgh  Midlothian UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munir","family":"Kureshi","sequence":"additional","affiliation":[{"name":"Pet Ear Care Centre  Cupertino California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Textbook of small animal surgery","author":"Seim HB","year":"1985"},{"key":"e_1_2_9_3_1","first-page":"95","volume-title":"Current techniques in small animal surgery","author":"Bojrab MJ"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2016.01.002"},{"issue":"5","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"937","DOI":"10.2460\/javma.1996.209.05.937","article-title":"Treatments of recurrent otitis media after total ear canal ablation and lateral bulla osteotomy in dogs - nine cases (1986\u20131994)","volume":"209","author":"Smeak DD","year":"1996","journal-title":"J Am Vet Med Assoc."},{"key":"e_1_2_9_6_1","first-page":"242","article-title":"Tympanomas-toidectomy: comparison between canal wall-down and canal wall-up techniques in surgery for chronic otitis media","volume":"17","author":"Azevedo AF","year":"2013","journal-title":"Int Arch Otorhinolaryngol."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198408000-00006"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100136618"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2012.08.011"},{"issue":"12","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.2460\/javma.1997.211.12.1549","article-title":"Removal of a cholesteatoma in a dog, using a caudal auricular approach","volume":"211","author":"Davidson EB","year":"1997","journal-title":"J Am Vet Med Assoc."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12658"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23522"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132890"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25048"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","unstructured":"MehrkensLR TownsendKL CooleySD MilovancevM NewsomLE.Experience level as a predictor of entry into the hypo-tympanum during feline total ear canal ablation and lateral bulla osteotomy. J Feline Med Surg.2021.https:\/\/doi.org\/10.1177\/1098612X20983264.","DOI":"10.1177\/1098612X20983264"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.255.7.828"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jepm.2011.04.004"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2011.00904.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2001.218.1619"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1638\/1042-7260(2001)032[0393:COEMWT]2.0.CO;2"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1638\/2008-0092.1"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1647\/1082-6742-28.1.31"}],"container-title":["Veterinary Record"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/vetr.510","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/vetr.510","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bvajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/vetr.510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T12:05:30Z","timestamp":1761566730000},"score":1,"resource":{"primary":{"URL":"https:\/\/bvajournals.onlinelibrary.wiley.com\/doi\/10.1002\/vetr.510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,24]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/vetr.510"],"URL":"https:\/\/doi.org\/10.1002\/vetr.510","archive":["Portico"],"relation":{},"ISSN":["0042-4900","2042-7670"],"issn-type":[{"value":"0042-4900","type":"print"},{"value":"2042-7670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,24]]},"article-number":"e510"}}