{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:49:37Z","timestamp":1775022577642,"version":"3.50.1"},"reference-count":44,"publisher":"American Animal Hospital Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 7 yr old castrated male domestic shorthair presented for assessment of a chronic left head tilt, losses of balance, and positional nystagmus. A computed tomographic scan of the head revealed several fragments of a metallic foreign body in the left tympanic cavity. The foreign material was removed under endoscopic assistance through a minimally invasive ventral bulla osteotomy. No complications were noted during the immediate postoperative period. Follow-up 5 mo after surgery revealed complete resolution of the neurological signs with no evidence of recurrence. Foreign bodies associated with middle ear infection have not been previously reported in the cat. They should now be included in the differential diagnosis of vestibular disease. Endoscopic-assisted foreign body removal in the middle ear seems to be a safe and efficient way to retrieve small foreign bodies in bullae in cats.<\/jats:p>","DOI":"10.5326\/jaaha-ms-7417","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T11:33:11Z","timestamp":1725535991000},"page":"219-222","source":"Crossref","is-referenced-by-count":2,"title":["Video-Assisted Ventral Bulla Osteotomy to Remove a Bullet Foreign Body in a Cat"],"prefix":"10.5326","volume":"60","author":[{"given":"Chlo\u00e9","family":"Job","sequence":"first","affiliation":[{"name":"From the Small Animal Surgical Department, Centre V\u00e9t\u00e9rinaire DMVet, Qu\u00e9bec, Canada (C.J.);"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Bureau","sequence":"additional","affiliation":[{"name":"Small Animal Surgical Department, Centre Hospitalier V\u00e9t\u00e9rinaire Atlantia, Nantes, France (S.B.); and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Faucher","sequence":"additional","affiliation":[{"name":"Small Animal Internal Medicine Department, Clinique V\u00e9t\u00e9rinaire Alliance, Bordeaux, France (M.F.)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3280","reference":[{"key":"i0587-2871-60-5-219-b1","series-title":"Indian J Pediatr","first-page":"267","article-title":"Aural foreign bodies","volume":"67","author":"Mishra","year":"2000"},{"key":"i0587-2871-60-5-219-b2","series-title":"Head Face Med","first-page":"23","article-title":"Metallic foreign body in middle ear: an unusual cause of hearing loss","volume":"3","author":"Eleftheriadou","year":"2007"},{"key":"i0587-2871-60-5-219-b3","series-title":"Auris Nasus Larynx","first-page":"419","article-title":"Silicone impression material foreign body in the middle ear: two case reports and literature review","volume":"42","author":"Suzuki","year":"2015"},{"key":"i0587-2871-60-5-219-b4","series-title":"Am J Otolaryngol","first-page":"108","article-title":"Hearing aid silicone impression material as a foreign body in the middle ear","volume":"38","author":"Lee","year":"2017"},{"key":"i0587-2871-60-5-219-b5","series-title":"Arch Otolaryngol","first-page":"778","article-title":"Middle ear foreign body. A hearing aid complication","volume":"109","author":"Kiskaddon","year":"1983"},{"key":"i0587-2871-60-5-219-b6","series-title":"Otolaryngol Head Neck Surg","first-page":"635","article-title":"Tympanic membrane perforation and retained metal slag after a welding injury","volume":"133","author":"Simons","year":"2005"},{"key":"i0587-2871-60-5-219-b7","series-title":"J Laryngol Otol","first-page":"699","article-title":"Metal spark perforation of the tympanic membrane with deafness and facial paralysis","volume":"100","author":"Stage","year":"1986"},{"key":"i0587-2871-60-5-219-b8","series-title":"Vet Clin North Am Small Anim Pract","first-page":"469","article-title":"Diagnosis and treatment of otitis media in dogs and cats","volume":"34","author":"Gotthelf","year":"2004"},{"key":"i0587-2871-60-5-219-b9","series-title":"J Feline Med Surg","first-page":"1082","article-title":"Retrospective study of the presentation, diagnosis and management of 16 cats with otitis media not due to nasopharyngeal polyp","volume":"20","author":"Swales","year":"2018"},{"key":"i0587-2871-60-5-219-b10","series-title":"J Am Vet Med Assoc","first-page":"123","article-title":"Tympanic bulla osteotomy for treatment of middle-ear disease in cats: 19 cases (1984-1991)","volume":"202","author":"Trevor","year":"1993"},{"key":"i0587-2871-60-5-219-b11","series-title":"Vet Clin North Am Small Anim Pract","first-page":"643","article-title":"Management of otic and nasopharyngeal, and nasal polyps in cats and dogs","volume":"46","author":"Greci","year":"2016"},{"key":"i0587-2871-60-5-219-b12","series-title":"Middle and Inner Ear in Veterinary Surgery Small Animal.","author":"White","year":"2017"},{"key":"i0587-2871-60-5-219-b13","series-title":"J Am Vet Med Assoc","first-page":"580","article-title":"Analysis of auditory and neurologic effects associated with ventral bulla osteotomy for removal of inflammatory polyps or nasopharyngeal masses in cats","volume":"233","author":"Anders","year":"2008"},{"key":"i0587-2871-60-5-219-b14","series-title":"Vet Rec","first-page":"e510","article-title":"Endoscope and image-guided ventral bulla osteotomy in the dog: a cadaveric and patient study","volume":"189","author":"Bhutta","year":"2021"},{"key":"i0587-2871-60-5-219-b15","series-title":"J Am Vet Med Assoc","first-page":"1663","article-title":"Anatomic structures of the canine middle ear visible during endoscopic examination through a ventral or lateral approach","volume":"260","author":"Viani","year":"2022"},{"key":"i0587-2871-60-5-219-b16","series-title":"Vet Surg","first-page":"1406","article-title":"Otoscopic evaluation of epithelial remnants in the tympanic cavity after total ear canal ablation and lateral bulla osteotomy","volume":"49","author":"Watt","year":"2020"},{"key":"i0587-2871-60-5-219-b17","series-title":"J Small Anim Pract","first-page":"75","article-title":"Recent advances in soft tissue minimally invasive surgery","volume":"55","author":"Mayhew","year":"2014"},{"key":"i0587-2871-60-5-219-b18","series-title":"J Otol","first-page":"27","article-title":"Endoscopic ear surgery","volume":"15","author":"Emre","year":"2020"},{"key":"i0587-2871-60-5-219-b19","series-title":"Clin Infect Dis","first-page":"2089","article-title":"Infectious Diseases Society of America Guidance on the Treatment of AmpC \u03b2-Lactamase-Producing Enterobacterales, Carbapenem-Resistant Acinetobacter baumannii, and Stenotrophomonas maltophilia Infections","volume":"74","author":"Tamma","year":"2022"},{"key":"i0587-2871-60-5-219-b20","series-title":"Vet Rec","first-page":"684","article-title":"Management of inflammatory polyps in 37 cats","volume":"147","author":"Anderson","year":"2000"},{"key":"i0587-2871-60-5-219-b21","series-title":"J Am Anim Hosp Assoc","first-page":"496","article-title":"Results of ventral bulla osteotomy for treatment of middle ear polyps in cats","volume":"26","author":"Faulkner","year":"1990"},{"key":"i0587-2871-60-5-219-b22","series-title":"J Am Vet Med Assoc","first-page":"828","article-title":"Comparison of complications and outcome following unilateral, staged bilateral, and single-stage bilateral ventral bulla osteotomy in cats","volume":"255","author":"Wainberg","year":"2019"},{"key":"i0587-2871-60-5-219-b1","series-title":"Indian J Pediatr","first-page":"267","article-title":"Aural foreign bodies","volume":"67","author":"Mishra","year":"2000"},{"key":"i0587-2871-60-5-219-b2","series-title":"Head Face Med","first-page":"23","article-title":"Metallic foreign body in middle ear: an unusual cause of hearing loss","volume":"3","author":"Eleftheriadou","year":"2007"},{"key":"i0587-2871-60-5-219-b3","series-title":"Auris Nasus Larynx","first-page":"419","article-title":"Silicone impression material foreign body in the middle ear: two case reports and literature 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A hearing aid complication","volume":"109","author":"Kiskaddon","year":"1983"},{"key":"i0587-2871-60-5-219-b6","series-title":"Otolaryngol Head Neck Surg","first-page":"635","article-title":"Tympanic membrane perforation and retained metal slag after a welding injury","volume":"133","author":"Simons","year":"2005"},{"key":"i0587-2871-60-5-219-b7","series-title":"J Laryngol Otol","first-page":"699","article-title":"Metal spark perforation of the tympanic membrane with deafness and facial paralysis","volume":"100","author":"Stage","year":"1986"},{"key":"i0587-2871-60-5-219-b8","series-title":"Vet Clin North Am Small Anim Pract","first-page":"469","article-title":"Diagnosis and treatment of otitis media in dogs and cats","volume":"34","author":"Gotthelf","year":"2004"},{"key":"i0587-2871-60-5-219-b9","series-title":"J Feline Med Surg","first-page":"1082","article-title":"Retrospective study of the presentation, diagnosis and management of 16 cats with otitis media not due to nasopharyngeal polyp","volume":"20","author":"Swales","year":"2018"},{"key":"i0587-2871-60-5-219-b10","series-title":"J Am Vet Med Assoc","first-page":"123","article-title":"Tympanic bulla osteotomy for treatment of middle-ear disease in cats: 19 cases (1984-1991)","volume":"202","author":"Trevor","year":"1993"},{"key":"i0587-2871-60-5-219-b11","series-title":"Vet Clin North Am Small Anim Pract","first-page":"643","article-title":"Management of otic and nasopharyngeal, and nasal polyps in cats and dogs","volume":"46","author":"Greci","year":"2016"},{"key":"i0587-2871-60-5-219-b12","series-title":"Middle and Inner Ear in Veterinary Surgery Small Animal.","author":"White","year":"2017"},{"key":"i0587-2871-60-5-219-b13","series-title":"J Am Vet Med Assoc","first-page":"580","article-title":"Analysis of auditory and neurologic effects associated with ventral bulla osteotomy for removal of inflammatory polyps or nasopharyngeal masses in cats","volume":"233","author":"Anders","year":"2008"},{"key":"i0587-2871-60-5-219-b14","series-title":"Vet Rec","first-page":"e510","article-title":"Endoscope and image-guided ventral bulla osteotomy in the dog: a cadaveric and patient study","volume":"189","author":"Bhutta","year":"2021"},{"key":"i0587-2871-60-5-219-b15","series-title":"J Am Vet Med Assoc","first-page":"1663","article-title":"Anatomic structures of the canine middle ear visible during endoscopic examination through a ventral or lateral approach","volume":"260","author":"Viani","year":"2022"},{"key":"i0587-2871-60-5-219-b16","series-title":"Vet Surg","first-page":"1406","article-title":"Otoscopic evaluation of epithelial remnants in the tympanic cavity after total ear canal ablation and lateral bulla osteotomy","volume":"49","author":"Watt","year":"2020"},{"key":"i0587-2871-60-5-219-b17","series-title":"J Small Anim Pract","first-page":"75","article-title":"Recent advances in soft tissue minimally invasive surgery","volume":"55","author":"Mayhew","year":"2014"},{"key":"i0587-2871-60-5-219-b18","series-title":"J Otol","first-page":"27","article-title":"Endoscopic ear surgery","volume":"15","author":"Emre","year":"2020"},{"key":"i0587-2871-60-5-219-b19","series-title":"Clin Infect Dis","first-page":"2089","article-title":"Infectious Diseases Society of America Guidance on the Treatment of AmpC \u03b2-Lactamase-Producing Enterobacterales, Carbapenem-Resistant Acinetobacter baumannii, and Stenotrophomonas maltophilia Infections","volume":"74","author":"Tamma","year":"2022"},{"key":"i0587-2871-60-5-219-b20","series-title":"Vet Rec","first-page":"684","article-title":"Management of inflammatory polyps in 37 cats","volume":"147","author":"Anderson","year":"2000"},{"key":"i0587-2871-60-5-219-b21","series-title":"J Am Anim Hosp Assoc","first-page":"496","article-title":"Results of ventral bulla osteotomy for treatment of middle ear polyps in cats","volume":"26","author":"Faulkner","year":"1990"},{"key":"i0587-2871-60-5-219-b22","series-title":"J Am Vet Med Assoc","first-page":"828","article-title":"Comparison of complications and outcome following unilateral, staged bilateral, and single-stage bilateral ventral bulla osteotomy in cats","volume":"255","author":"Wainberg","year":"2019"}],"container-title":["Journal of the American Animal Hospital 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