{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:11:06Z","timestamp":1782450666758,"version":"3.54.5"},"reference-count":46,"publisher":"American Veterinary Medical Association (AVMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2022,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To evaluate dogs and cats undergoing total ear canal ablation with lateral bulla osteotomy (TECA-LBO), document antimicrobial choices, and determine relationships associated with infection-related and neurologic postoperative complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>107 client-owned dogs and 13 client-owned cats that underwent TECA-LBO.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>A retrospective analysis of medicals records of dogs and cats with TECA-LBO from 2 veterinary hospitals with postoperative data for at least 6 months was performed. All information associated with the TECA-LBO surgery including follow-up was recorded. Logistic regression analyses were performed and corrected using a false discovery rate to identify significance between antimicrobial administration and other perioperative variables and the outcomes of short- and long-term neurologic and infection-related complications, need for revision surgery, and euthanasia due to recurrence of infection-related signs.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Intraoperative cultures were performed in 111 animals, and 95 (85.5%) had bacterial growth, with <jats:italic>Staphylococcus<\/jats:italic> spp most commonly isolated. Revision surgeries due to infection-related signs occurred in 13 of 120 (10.8%) patients. If intraoperative bacterial cultures were positive and antimicrobials were administered within 1 month of surgery, patients were 85.8% less likely to exhibit infection-related complications, whereas patients not administered antimicrobials were 10.3 times as likely to require a revision surgery. Longer durations of postoperative antimicrobial administration were associated with revision surgery and euthanasia due to infection-related signs.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Administration of systemic antimicrobials within the first postoperative month may be necessary to prevent complications when intraoperative cultures exhibit bacterial growth and plays a role in the successful outcome of TECA-LBO.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.21.10.0462","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T12:52:37Z","timestamp":1648212757000},"page":"899-910","source":"Crossref","is-referenced-by-count":8,"title":["Effect of empirical versus definitive antimicrobial selection on postoperative complications in dogs and cats undergoing total ear canal ablation with lateral bulla osteotomy: 120 cases (2009\u20132019)"],"prefix":"10.2460","volume":"260","author":[{"given":"Christian A.","family":"Folk","sequence":"first","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassie N.","family":"Lux","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaocun","family":"Sun","sequence":"additional","affiliation":[{"name":"Office of Information and Technology, University of Tennessee, Knoxville, TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy J.","family":"Fryer","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"3","key":"ref1","series-title":"J Am Anim Hosp Assoc.","first-page":"160","article-title":"Postoperative complications following TECA-LBO in the dog and cat","volume":"49","author":"Spivack RE","year":"2013","unstructured":"Spivack RE, Elkins AD, Moore GE, Lantz GC. Postoperative complications following TECA-LBO in the dog and cat. J Am Anim Hosp Assoc. 2013;49(3):160\u2013168.23535749"},{"issue":"1","key":"ref2","series-title":"Vet Surg.","first-page":"1","article-title":"Wound healing and brain stem auditory evoked potentials after experimental total ear canal ablation with lateral tympanic bulla osteotomy in dogs","volume":"2","author":"McAnulty JF","year":"1995","unstructured":"McAnulty JF, Hattel A, Harvey CE. Wound healing and brain stem auditory evoked potentials after experimental total ear canal ablation with lateral tympanic bulla osteotomy in dogs. 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