Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid
Background: Aural hematomas are not uncommon in ruminants’ clinical practice; however, there is a lack of information regarding their management in newborn ruminants, especially for complicated cases with rupture of the hematoma and secondary ear pinna necrosis. Case description: A three-days-old o...
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| Format: | Article |
| Language: | English |
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Tripoli University
2021-07-01
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| Series: | Open Veterinary Journal |
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| Online Access: | https://www.openveterinaryjournal.com/OVJ-2021-04-071%20P.D.%20Katsoulos%20and%20A.%20Dedousi.pdf |
| _version_ | 1818904685218627584 |
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| author | Panagiotis D. Katsoulos Anna Dedousi |
| author_facet | Panagiotis D. Katsoulos Anna Dedousi |
| author_sort | Panagiotis D. Katsoulos |
| collection | DOAJ |
| description | Background: Aural hematomas are not uncommon in ruminants’ clinical practice; however, there is a lack of information regarding their management in newborn ruminants, especially for complicated cases with rupture of the hematoma and secondary ear pinna necrosis.
Case description: A three-days-old orphan goat kid was admitted due to swelling on the left ear pinna and trauma on the right pina caused by biting by other goats. The swelling on the left ear which was located at the convex surface was soft, painless, and fluid-filled, suggestive of aural hematoma located at the convex surface. The right pinna was swollen, bleeding, and extremely painful at palpation. The skin was necrotized at the distal 2/3rd of the convex surface and the 1/2 of the concave surface. Underneath the necrotized skin of the convex surface, blood and blood clots were trapped, and there was a pocket between the remaining normal skin and the cartilage indicating possible rupture of aural hematoma. The kid was surgically treated under general anesthesia with xylazine and ketamine. The aural hematoma was drained by the convex surface using a Penrose tube after flushing the cavity with 2 mg dexamethasone. The trauma of the right pinna was left to heal by secondary intention after resection of all necrotized, edematous tissues and blood clots. Post-surgery, the animal was treated with parenteral antibiotic administration and daily application of a topical antiseptic solution. The Penrose tube was removed after five days, and the animal recovered uneventfully.
Conclusions: The present case indicates that aural hematoma can occur in newborn goat kids secondary to ear pinna biting and might evolve to pinna necrosis. In addition, tube drainage after flushing the cavity with corticosteroids appears to be an effective treatment approach without requiring bandaging post-operatively. |
| first_indexed | 2024-12-19T21:11:22Z |
| format | Article |
| id | doaj.art-3103a3204160497185dcf0e003658391 |
| institution | Directory Open Access Journal |
| issn | 2218-6050 2218-6050 |
| language | English |
| last_indexed | 2024-12-19T21:11:22Z |
| publishDate | 2021-07-01 |
| publisher | Tripoli University |
| record_format | Article |
| series | Open Veterinary Journal |
| spelling | doaj.art-3103a3204160497185dcf0e0036583912022-12-21T20:05:29ZengTripoli UniversityOpen Veterinary Journal2218-60502218-60502021-07-0111337938410.5455/OVJ.2021.v11.i3.7Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kidPanagiotis D. Katsoulos0https://orcid.org/0000-0002-8443-8645Anna Dedousi1https://orcid.org/0000-0002-5399-9773Clinic of Farm Animals, School of Veterinary Medicine, Aristotle University of Thessaloniki, St. Voutyra 11, 54627, Thessaloniki, GreeceVeterinary Research Institute, Hellenic Agricultural Organization DIMITRA, NAGREF Campus, 57001, Thermi, Thessaloniki, GreeceBackground: Aural hematomas are not uncommon in ruminants’ clinical practice; however, there is a lack of information regarding their management in newborn ruminants, especially for complicated cases with rupture of the hematoma and secondary ear pinna necrosis. Case description: A three-days-old orphan goat kid was admitted due to swelling on the left ear pinna and trauma on the right pina caused by biting by other goats. The swelling on the left ear which was located at the convex surface was soft, painless, and fluid-filled, suggestive of aural hematoma located at the convex surface. The right pinna was swollen, bleeding, and extremely painful at palpation. The skin was necrotized at the distal 2/3rd of the convex surface and the 1/2 of the concave surface. Underneath the necrotized skin of the convex surface, blood and blood clots were trapped, and there was a pocket between the remaining normal skin and the cartilage indicating possible rupture of aural hematoma. The kid was surgically treated under general anesthesia with xylazine and ketamine. The aural hematoma was drained by the convex surface using a Penrose tube after flushing the cavity with 2 mg dexamethasone. The trauma of the right pinna was left to heal by secondary intention after resection of all necrotized, edematous tissues and blood clots. Post-surgery, the animal was treated with parenteral antibiotic administration and daily application of a topical antiseptic solution. The Penrose tube was removed after five days, and the animal recovered uneventfully. Conclusions: The present case indicates that aural hematoma can occur in newborn goat kids secondary to ear pinna biting and might evolve to pinna necrosis. In addition, tube drainage after flushing the cavity with corticosteroids appears to be an effective treatment approach without requiring bandaging post-operatively.https://www.openveterinaryjournal.com/OVJ-2021-04-071%20P.D.%20Katsoulos%20and%20A.%20Dedousi.pdfaural hematomaear pinna necrosisgoat kidpenrose drainagesurgery |
| spellingShingle | Panagiotis D. Katsoulos Anna Dedousi Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid Open Veterinary Journal aural hematoma ear pinna necrosis goat kid penrose drainage surgery |
| title | Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid |
| title_full | Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid |
| title_fullStr | Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid |
| title_full_unstemmed | Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid |
| title_short | Surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three-days-old goat kid |
| title_sort | surgical management of bilateral ear pinna lesions associated with traumatic aural hematoma in a three days old goat kid |
| topic | aural hematoma ear pinna necrosis goat kid penrose drainage surgery |
| url | https://www.openveterinaryjournal.com/OVJ-2021-04-071%20P.D.%20Katsoulos%20and%20A.%20Dedousi.pdf |
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