TOTAL EAR CANAL ABLATION-BULLA OSTEOTOMY (TECA-BO) PADA KASUS OTITIS MEDIA KRONIS PADA ANJING FRENCH BULLDOG DI MEDIVET PET HOSPITAL KEBAYORAN BARU = TOTAL EAR CANAL ABLATION-BULLA OSTEOTOMY (TECA-BO) IN A CASE OF CHRONIC OTITIS MEDIA IN A FRENCH BULLDOG AT MEDIVET PET HOSPITAL KEBAYORAN BARU

Otitis merupakan salah satu penyakit telinga yang paling sering ditemukan pada anjing dalam praktik kedokteran hewan kecil, dengan prevalensi dilaporkan berkisar antara 5–20%. Laporan kasus bertujuan untuk menggambarkan kejadian otitis media kronis serta penanganan melalui tindakan operasi Total Ear Canal Ablation dan Bulla Osteotomy (TECA-BO). Kasus ini terjadi pada anjing berjenis French Bulldog bernama Yoda, berumur 5 tahun, yang datang ke Medivet Hospital Pet Kebayoran Baru dengan keluhan pada masalah telinga yang ditandai dengan perilaku menggaruk-garuk, menggoyangkan kepala, adanya bau tidak sedap dan terlihat gejala head tilt. Pemeriksaan fisik dilakukan dengan inspeksi yaitu melihat cara berdiri, berjalan, postur kepala anjing serta palpasi pada bagian telinga. Pemeriksaan penunjang meliputi pemeriksaan hematologi dan kimia darah. Hasil hematologi menunjukkan neutrofilia (14,18 K/µL), eosinopenia (0,04 K/µL) dan peningkatan plateletcrit (0.47%). Sementara itu, hasil kimia darah menunjukkan peningkatan kadar total protein (8,8 g/dL), albumin (4,3 g/dL), dan bilirubin total, serta penurunan aktivitas alkaline phosphatase (ALP; <10 U/L) dan amilase (419 U/L). Pemeriksaan sitologi telinga menunjukkan adanya infestasi bakteri berbentuk kokus dan basil serta jamur Malassezia spp. Pemeriksaan CT-scan menunjukkan adanya tampakan hyperdense (putih) pada saluran telinga yang mengindikasikan kalsifikasi pada saluran telinga, disertai material berdensitas jaringan lunak yang mengisi lumen saluran telinga dan bulla tympani. Berdasarkan hasil pemeriksaan fisik dan penunjang anjing Yoda didiagnosis mengalami otitis media kronis dengan prognosis fausta. Penanganan definitif dilakukan dengan prosedur TECA-BO. Tindakan operasi berjalan lancar dan pasien dilakukan monitoring secara berkala untuk mengevaluasi proses penyembuhan luka. Setelah 49 hari perawatan, luka dinyatakan sembuh dan kering. Otitis is one of the most common ear diseases in dogs in small animal veterinary practice, with a reported prevalence ranging from 5–20%. This case report aims to describe a case of chronic otitis media and its management through Total Ear Canal Ablation and Bulla Osteotomy (TECA-BO) surgery. This case involved a 5-year-old French Bulldog named Yoda, who was brought to Medivet Pet Hospital Kebayoran Baru with complaints of ear problems characterized by scratching, head shaking, an unpleasant odor, and signs of head tilt. A physical examination was performed, including inspection of the dog’s stance, gait, and head posture, as well as palpation of the ear. Supporting tests included a complete blood count (CBC) and blood chemistry panel. The CBC results showed neutrophilia (14.18 K/µL), eosinopenia (0.04 K/µL), and an elevated plateletcrit (0.47%). Meanwhile, blood chemistry results showed elevated levels of total protein (8.8 g/dL), albumin (4.3 g/dL), and total bilirubin, as well as decreased activity of alkaline phosphatase (ALP; <10 U/L) and amylase (419 U/L). A cytological examination of the ear revealed an infestation of coccus- and bacillus-shaped bacteria, as well as Malassezia spp. fungi. A CT scan showed a hyperdense (white) appearance in the ear canal, indicating calcification, accompanied by soft-tissue-density material filling the lumen of the ear canal and the tympanic bulla. Based on the results of the physical examination and supporting tests, Yoda was diagnosed with chronic otitis media with a favorable prognosis. Definitive treatment was performed using the TECA-BO procedure. The surgery went smoothly, and the patient was monitored periodically to evaluate the wound healing process. After 49 days of care, the wound was declared healed and dry.