Primary Secretory Otitis Media
Primary Secretory Otitis Media (PSOM) is a breed-predisposed condition where thick mucus accumulates in the middle ear, causing pain and neurological signs.
Detailed Description
PSOM is likely multifactorial with a strong breed predisposition. It can cause hearing loss, pain, and facial nerve paralysis if untreated, significantly affecting the dog's quality of life.
Common Symptoms
- Head/neck scratching
- Head tilt
- Pain
- Hearing loss
- Facial nerve paralysis
Management Options
- Myringotomy and flushing of middle ear
- Corticosteroids
- Antibiotics if secondary infection
Frequently Asked Questions
Is PSOM the same as ear infection?
No, it is a buildup of sterile mucus, not infection.
How is PSOM treated?
Flushing the middle ear and medications.
Can PSOM cause deafness?
Yes, if untreated.
Is PSOM painful?
Yes, it can be very painful.
Is PSOM unique to certain breeds?
It is much more common in some breeds such as the Cavalier King Charles Spaniel.
Condition Details
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Typical Age of Onset
3-7 years
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Testing Available
Yes
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Diagnosing Methods
Otoscopic exam; MRI or CT; Myringotomy
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Preventative Measures
Early detection and treatment
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Related Conditions
Otitis externa, Syringomyelia