Otitis Media and Interna in Dogs
Otitis Media and Interna is a high-severity ear condition that can affect dogs of all ages and breeds. Otitis media (middle ear infection) and otitis interna (inner ear infection) are deep ear infections that extend beyond the external ear canal. They cause significant pain, hearing loss, vestibular signs, and, untreated, can result in permanent neurological damage. It is documented across 5 breeds, though prevalence and severity can differ significantly between them. It typically becomes apparent at Any age (secondary to chronic external otitis). Early signs to watch for include head tilt, nystagmus, circling and rolling, and facial nerve paralysis (dropping lip, eyelid). When treatment is required, costs are estimated at £500-£3,500 depending on severity, location, and the specific intervention needed. This page covers symptoms, treatment options, and preventive steps — along with breed-specific information where available.
Signs & Symptoms
The following symptoms are commonly associated with Otitis Media and Interna in dogs. If your dog displays several of these signs, consult your vet promptly — early diagnosis typically leads to better outcomes.
- Head tilt
- Nystagmus
- Circling and rolling
- Facial nerve paralysis (dropping lip, eyelid)
- Horner's syndrome
- Profound hearing loss
Treatment Overview
Prolonged antibiotic therapy (6-8 weeks minimum) based on culture and sensitivity from middle ear sampling. Surgical drainage via total ear canal ablation and lateral bulla osteotomy (TECA-LBO) for chronic or unresponsive cases.
Typical onset: Any age (secondary to chronic external otitis)
Prevention & Screening
While not all cases of Otitis Media and Interna can be prevented, the following steps reduce risk or enable earlier intervention:
- Treat external ear infections promptly before they penetrate deeper
- Regular ear examination in dogs with chronic external otitis
Estimated Treatment Cost
Treatment for Otitis Media and Interna is estimated at £500-£3,500, depending on severity, the specific intervention required, and your location. Costs may be higher for surgical procedures or ongoing management. Comprehensive pet insurance covering this condition is strongly recommended.
Breeds Affected by Otitis Media and Interna
The following 5 breeds are documented as being susceptible to Otitis Media and Interna. Click any breed to view breed-specific information about this condition, including prevalence and recommended screening.
Looking for more information? Browse all dog health conditions or explore the health guides for in-depth breed care advice.