Canker in the Ear (1)
All water-dogs, and some others, are subject to a disease designated by this name, and which, in fact, is inflammation of the integumental lining of the inside of the ear. When the whole of the body, except the head and ears, is surrounded by cold water, there will be an unusual determination of blood to those parts, and consequent distension of the vessels and a predisposition to inflammation. A Newfoundland dog, or setter, or poodle, that has been subject to canker, is often freed from a return of the disease by being kept from the water.
The earliest symptom of the approach of canker is frequent shaking of the head, or holding of the head on one side, or violent scratching of one or both ears. Redness of the integument may then be observed, and particularly of that portion of it which lines the annular cartilage. This is usually accompanied by some enlargement of the folds of the skin. As soon as any of these symptoms are observed, the ear should be gently but well washed, two or three times in the day, with lukewarm water, and after that a weak solution of the extract of lead should be applied, and a dose or two of physic administered.
If the case is neglected, the pain will rapidly increase; the ear will become of an intenser red; the folds of the integument will enlarge, and there will be a deposition of red or black matter in the hollow of the ear. The case is now more serious, and should be immediately attended to. This black or bloody deposit should be gently but carefully washed away with warm water and soap; and the extract of lead, in the proportion of a scruple to an ounce of water, should be frequently applied, until the redness and heat are abated. A solution of alum, in about the same quantity of alum and water as the foregoing lotion, should then be used.
Some attention should be paid to the method of applying these lotions. Two persons will be required in order to accomplish the operation. The surgeon must hold the muzzle of the dog with one hand, and have the root of the ear in the hollow of the other, and between the first finger and the thumb. The assistant must then pour the liquid into the ear; half a tea-spoonful will usually be sufficient. The surgeon, without quitting the dog, will then close the ear, and mould it gently until the liquid has insinuated itself as deeply as possible into the passages of the ear. Should not the inflammation abate in the course of a few days, a seton should be inserted in the poll, between the integument and the muscles of the occiput, reaching from ear to ear. The excitement of a new inflammation, so near to the part previously diseased, will materially abate the original affection. Physic is now indispensable. From half a drachm to a drachm of aloes, with from one to two grains of calomel, should be given every third day.
Should the complaint have been much neglected, or the inflammation so great as to bid defiance to these means, ulceration will too often speedily follow. It will be found lodged deep in the passage, and can only be detected by moulding the ear; the effused pus will occasionally occupy the inside of the ear to its very tip. However extensive and annoying the inflammation may be, and occasionally causing so much thickening of the integument as perfectly to close the ear, it is always superficial. It will generally yield to proper treatment, and the cartilage of the ear may not be in the slightest degree affected. Still, however, the animal may suffer extreme pain; the discharge from the ulcer may produce extensive excoriation of the cheek; and, in a few cases, the system may sympathise with the excessive local application, and the animal may be lost.
The treatment must vary with circumstances. If the ulceration is deep in the ear, and there is not a very great degree of apparent inflammation, recourse may be had at once to a stimulating and astringent application, such as alum or the sulphate of zinc, and in the proportion of six grains of either to an ounce of water. If, however, the ulceration occupies the greater part of the hollow of the ear, and is accompanied by much thickening of the integument, and apparent filling up of the entrance to the ear, some portion of the inflammation must be first subdued.
The only chance of getting rid of the disease is to confine the ear. A piece of strong calico must be procured, six or eight inches in width, and sufficiently long to reach round the head and meet under the jaw. Along each side of it must be a running piece of tape, and a shorter piece sewed at the centre of each of the ends. By means of these the cap may be drawn tightly over the head, above the eyes, and likewise round the neck behind the ears, so as perfectly to confine them.