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  1. This handout is designed to guide puppy owners through our process. Note that every veterinarian has different techniques and recommendations. Those provided here reflect the process at Clermont Animal Hospital. Before the Ear Crop. Ear Crop Consultation.

  2. Posterior Helical Ear Pits. Magda Mendez, MD, FAAP. Tarik Zahouani, MD. Hoda Karbalivand, MD. Volume 15 - Issue 3 - March 2016. A 2-month-old girl presented to a primary care clinic for a well-child care visit and was found to have bilateral posterior helical ear pits (PHEPs).

  3. 1 mar 2007 · A posterior helical ear pit in Beckwith–Wiedemann syndrome (arrow), and indentations on pinna (asterisk). Indentations on the posterior pinna are seen in the normal population, but more frequently in BWS.

  4. Most cases of acute otitis externa can be managed with ear cleaning and use of an appropriate topical antimicrobial/glucocorticoid product. However, recurrent or chronic cases require a more thorough approach to achieve resolution and prevent relapses (Figure 1).

  5. A common cause for acute otitis externa is foreign bodies (e.g., grass awns). Removing the foreign body will result in a fast recovery and eliminate the need for further treatment in the absence of secondary infection. Chronic Otitis Externa. Ear diseases that have been present for at least 1 month or that recur frequently are considered chronic.

  6. We have observed posterior helical pits as a feature in three syndromes only: Beckwith-Wiedemann syndrome, Simpson-Golabi-Behmel syndrome and Rubinstein-Taybi syndrome. We suggest that posterior helical pits, when present, are an excellent diagnostic handle.

  7. 7 kwi 2023 · Treatment is in 2 phases: induction to get the ears in remission and then long-term maintenance therapy to prevent relapses. Treatment should be appropriate to each dog but will typically involve ear cleaning, topical antimicrobial therapy, and topical or systemic glucocorticoids.