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Best approach for surgical aural haematoma repair

Clinical Scenario

Mr Shephard brings Rusty, a 4 year old show Labrador to your clinic. Mr Shephard tells you that Rusty has been scratching his right ear and shaking his head frequently; you diagnose otitis externa in his right ear with a resulting aural haematoma. You discuss the treatment options with Mr Shephard, who raises concerns about the cosmetic appearance of Rusty's ear, and his future show career. You feel a surgical approach is warranted to repair the haematoma alongside treatment for the otitis externa, but wonder whether suturing buttons, or splinting using a piece of radiograph film would lead to a better cosmetic outcome...

3-Part Question (PICO)

In [dogs with aural haematomas] does [suturing buttons vs suturing a splint (e.g. radiograph film)] lead to a [better cosmetic outcome]?

Search Strategy and Summary of Evidence

Search Strategy

MEDLINE(R) In-Process & Other Non-Indexed Citations and MEDLINE(R) 1946 to Present using the OVID interface

[dog.mp. OR dogs.mp. OR canine.mp. OR canines.mp. OR canis.mp. OR exp Dogs/]

AND

[AH.mp. OR AHs.mp. OR haematoma$.mp. OR hematoma$.mp. OR othaematoma$.mp. OR othematoma$.mp. OR exp Hematoma/]

AND

[surgical approach$.mp. OR surgical correction$.mp. OR surgical procedure$.mp. OR surgical treatment$.mp. OR surgical repair$.mp. OR splint$.mp. OR button$.mp. OR exp Splints/]

CAB Abstracts 1910 to Present using the OVID interface

[dog.mp. OR dogs.mp. OR canine.mp. OR canines.mp. OR canis.mp. OR exp dogs/ OR exp Canis/]

AND

[AH.mp. OR AHs.mp. OR haematoma$.mp. OR hematoma$.mp. OR othaematoma$.mp. OR othematoma$.mp. OR exp haematoma/]

AND

[surgical approach$.mp. OR surgical correction$.mp. OR surgical procedure$.mp. OR surgical treatment$.mp. OR surgical repair$.mp. OR splint$.mp. OR button$.mp.]

Search Outcome

MEDLINE

  • 47 papers found in MEDLINE search
  • 46 papers excluded as they don't meet the PICO question
  • 0 papers excluded as they are in a foreign language
  • 1 papers excluded as they are review articles/in vitro research/conference proceedings
  • 0 total relevant papers from MEDLINE

CAB Abstracts

  • 35 papers found in CAB search
  • 33 papers excluded as they don't meet the PICO question
  • 0 papers excluded as they are in a foreign language
  • 2 papers excluded as they are review articles/in vitro research/conference proceedings
  • 0 total relevant papers from CAB

Total relevant papers

0 relevant papers from both MEDLINE and CAB Abstracts

Comments

No citations have been included in this BET as none of the papers found directly compared the techniques of interest to each other (ie. they did not answer the PICO question) or were review articles or conference proceedings. Therefore, the table of evidence below has been left blank. 

Summary of Evidence

No Summary of Evidence yet.

Comments

The published articles which were found discussing surgical repair of canine aural haematomas, were narrative review articles, expert opinion pieces or described a single surgical technique. None of the articles found directly compared the techniques of interest in this BET. 

Narrative reviews, expert opinion pieces and those describing novel surgical techniques, along with other sources such as textbooks and online resources (e.g. Vetstream or The Merck Veterinary Manual), can be used when deciding which technique to employ. However, an awareness of the strengths and limitations of all of these evidence sources in relation to decision-making is important.

There is a need for further research to directly compare success rates and possible complications of the different surgical repair techniques for canine aural haematoma, in order to improve the strength of the evidence base in this area. 

Bottom line

At the present time there is no comparative peer reviewed evidence focusing on the two techniques in this BET. Therefore, choice of technique should be based on the surgeon’s preferred approach or individual practice guidelines.

Disclaimer

The BETs on this website are a summary of the evidence found on a topic and are not clinical guidelines. It is the responsibility of the individual veterinary surgeon to ensure appropriate decisions are made based on the specific circumstances of patients under their care, taking into account other factors such as local licensing regulations. Read small print

References

About this BET

First author:
Hannah Doit
Second author:
Marnie Brennan
Institution:

The University of Nottingham

Search last performed:
2016-10-28 12:12:48
Original publication date:
2014-10-14 12:12:48
Last updated:
2016-10-28 12:12:48
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