4 Days of Expert-Led Dermatology with Sue Paterson!

Explore a comprehensive series on demodectic and allergic otitis, delivered by RCVS Specialist Sue Paterson. Over four bite-sized videos, you'll learn diagnostic techniques, treatment strategies, and management tips using the PPS system. Perfect for veterinary professionals looking to deepen their knowledge of managing ear cases.

Recognising & Investigating Demodectic Otitis

Demodectic Otitis Part One

In this first of a two-part series on demodectic otitis, Sue Paterson introduces the foundational concepts behind Otitis externa using the PPS system: Primary Causes, Predisposing Factors, Secondary Causes, and Perpetuating Factors. She focuses on demodectic otitis as a primary cause, explaining how certain breeds are predisposed and the distinction between localised and generalised demodicosis, with the latter often involving the ears. The video includes diagnostic tips, emphasising the importance of using lower magnification on cytology to avoid missing mites. Key takeaways highlight performing cytology in cases of generalised demodicosis—both unstained to detect mites and stained to identify secondary microbial infections.

What is safe to use and what should be avoided in cases of otic demodicosis ?

Demodectic Otitis Part Two

In the second part of this bite-sized series on demodectic otitis, Sue Paterson shifts the focus to treatment strategies. She covers managing the disease in both juvenile and adult onset cases, stressing the importance of avoiding immunosuppressant drugs. The video delves into the appropriate use of miticidal treatments, guiding viewers on how to use both visual and cytological exams to select suitable topical therapies. Sue also discusses the role of antibiotic drops, the challenge of avoiding steroids, and explores isooxazolines as a treatment option for demodectic otitis.

 What do you do when this third opinion turns up with uncontrollable head shaking?

Allergic Otitis Part One

In the third part of this bite-sized series, Sue Paterson introduces the key concepts of allergic otitis within the broader discussion of Otitis externa, using the PPS system (Primary Causes, Predisposing Factors, Secondary Causes, and Perpetuating Factors) to guide us through the causes. She highlights that allergic otitis accounts for 75% of cases, demonstrating how this is often triggered by food or environmental allergens. Sue shares images, explains the role of cytology in diagnosis, and discusses the value of food trials. She also touches on contact allergies and how certain treatments can sometimes exacerbate these cases.

Where to start with treatment?

Allergic Otitis Part Two

In the final part of this bite-sized series, Sue Paterson delves into managing allergic otitis. She emphasises the importance of preparing owners early for the possibility of an allergic cause to support long-term compliance. Sue guides viewers on how to identify the underlying causes and use both visual and cytological exams to select appropriate topical treatments. She also covers treatment strategies for generalised allergic skin disease, discusses the role of steroids, and showcases different cases to highlight the importance of multi-modal therapy. Both topical and systemic treatments are explored, with advice on tailoring approaches to individual cases.

This Series is brought to you by Nextmune UK.

Contego Ear Wash is a new hypochlorous acid-based otic solution to help promote healthy ears in dogs, cats and other small mammals of all ages. It manages ear canal microflora, soothes redness and itching, and eliminates odours without stinging or irritation.

Antibiotic and steroid-free, it contains no alcohol and is suitable for various applications.

● Flushing of the ear during GA procedures

● Cleansing of the ear prior to the application of medicated drops

● Maintenance cleansing to keep the ears clean and promote long-term ear health