Ear polyps – a common didease in cats

These growths, which occur relatively frequently in cats, are not cancerous, as is often mistakenly assumed. They are benign, pedunculated mucosal protrusions that are often also inflamed. Young cats up to two years of age are particularly affected.

INHALT
Cause and origin Symptoms Diagnosis Treatment Prognosis Prophylaxis
Cause and origin

The nodular formations originate in the mucous membrane lining of the middle ear or nasopharynx. The cause of these growths is still unclear. It is believed that chronic nasopharyngeal or middle ear infections may be the cause. The polyps grow either toward the throat, into the external auditory canal, or in both directions. When they spread into the external auditory canal, the polyps destroy the eardrum as they grow, causing a serious ear infection.

Symptoms

The disease manifests itself through different symptoms depending on the location of the polyps. The mechanical impairment alone can lead to breathing noises, voice changes, sneezing, coughing, nasal discharge, head shaking, and difficulty in swallowing or breathing. If there is significant growth in the nasopharynx, neurological symptoms such as vestibular syndrome (see corresponding article), balance disorders, or Horner's syndrome (see corresponding article) may develop. Damage to the eardrum can lead to ear infections with bloody or purulent ear discharge and deafness.

Diagnosis

Some ear polyps can be detected during a general clinical examination by your veterinarian. However, if the changes are deeper inside and not visible from the outside, a reliable diagnosis can only be made with the help of further examinations. To diagnose a polyp located deep in the external auditory canal or throat, your veterinarian must perform a special endoscopic examination of the ear or throat. However, this is only possible under sedation or general anesthesia.

X-rays or computed tomography (CT) scans (see relevant articles) of the skull can help to determine the exact location of polyps. In addition, a blood test can provide important clues about possible underlying diseases.

Treatment

Due to the often very impairing symptoms, ear polyps should always be surgically removed. Depending on the location and size of the growths, your veterinarian has a choice of different surgical methods. On the one hand, they can extract the polyps from the anesthetized animal with the aid of special forceps under endoscopic control, so-called "pull them out" of the ear canal or throat. Polyps in the throat area can almost always be completely removed using this method. However, with polyps that develop from the middle ear, there is a risk that remnants of the growth will remain and the polyp will reform.

In these cases, your veterinarian will therefore perform a so-called bull osteotomy, in which the tympanic cavity is opened from the outside. This allows the entire tissue of the polyp to be removed. This operation must also be performed under general anesthesia and by an experienced surgeon, as there are many sensitive vascular and nerve structures in the tympanic cavity that can be damaged. The recurrence rate is extremely low with such a complete removal.

Anti-inflammatory, antibiotic, and pain-relieving medications are administered either during or prior to the operation to reduce inflammation. Your veterinarian will provide you with detailed information about additional local treatment of the ear canal with rinses on a case-by-case basis.

Cat after ear polyp surgery
Ear polyps should be surgically removed
Prognosis

After complete surgical removal, ear polyps have a very low recurrence rate and therefore a very good prognosis. For polyps in the throat area, even after simple "pulling out", there is already a good prognosis with only a very low recurrence rate.

Prophylaxis

Since the exact causes of polyps are unknown, prevention is virtually impossible. However, early detection and treatment of respiratory tract infections or ear infections is important, as it is believed that this can reduce the development of ear polyps.