RESUMO
OBJECTIVE: To describe the anatomic structures of the canine middle ear visible during endoscopic examination through ventral and lateral surgical approaches. SAMPLE: 5 cadaveric canine heads representing 4 breeds. PROCEDURES: A descriptive study was performed. For each head, a lateral approach was performed on one side and a ventral approach was performed on the opposite side. Images were obtained with a 2.7-mm, 30° telescope. RESULTS: Captured images were reviewed, and anatomic structures visualized through the lateral and ventral approaches were identified. The optimal approach, telescope position, and light post orientation to identify each anatomic structure were subjectively determined. CLINICAL RELEVANCE: Middle ear evaluation with a telescope was technically straightforward and allowed identification of middle ear structures not typically visible with an open surgical approach. Findings may serve as an anatomic reference guide for future video-assisted surgical procedures of the middle ear. A better understanding of the location of anatomic structures in the middle ear may help to prevent unnecessary damage to fragile middle ear structures, such as nerves or blood vessels, during surgical procedures.
Assuntos
Orelha Média , Animais , Cães/anatomia & histologia , Cadáver , Orelha Média/anatomia & histologia , Orelha Média/diagnóstico por imagem , Endoscopia/veterináriaRESUMO
OBJECTIVE: To determine the relationship between synovial biomarker concentrations and severity of lameness and to assess the ability to differentiate normal from osteoarthritic joints with synovial biomarker concentrations. STUDY DESIGN: Prospective clinical study. SAMPLE POPULATION: Twelve hounds with no evidence of osteoarthritis (OA) and 27 client-owned dogs with unilateral lameness and joint pain in a single joint from naturally occurring OA. METHODS: Enrollment in the OA group required a history of lameness, radiographic evidence of OA on orthogonal joint radiographs, and ≥6% gait asymmetry between contralateral limbs. The concentrations of 14 synovial OA biomarkers in synovial samples obtained after gait analysis were measured with enzyme-linked immunosorbent assays and compared between normal and OA joints. RESULTS: Concentrations of monocyte chemoattractant protein (MCP)-1, substance P, interleukin (IL)-6, IL-8, KC-like, matrix metalloproteinase (MMP)-1, and MMP-3 were greater (P ≤ .05) in OA than in normal joints. The concentrations of bradykinin and tissue inhibitors of metalloproteinase-4 were decreased in OA compared with normal joints. Monocyte chemoattractant protein 1 was identified as the most accurate marker to distinguish OA from normal joints. No correlation was detected between any OA biomarker concentration, individually or in combination, and severity of gait asymmetry at the walk. CONCLUSION: Differences in proinflammatory and anti-inflammatory biomarkers were detected between OA and normal joints, but no relationship was identified between biomarker concentrations and gait asymmetry in dogs with OA. CLINICAL IMPACT: This information will help guide future studies to elucidate how factors such as disease chronicity, severity, and etiology affect these relationships.