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Ear Conditions and Repair

Total Ear Canal Ablation (TECA) Surgery

When ear infections become chronic and no longer responsive to medication, one means of addressing the issue is removing the ear canal that is the source of the problem. In a TECA surgery, the ear canal is removed, the middle ear is cleared of debris and infection, and the opening closed – this leaves smooth skin with no ‘ear hole’ at the base of the ear flap, but the outer ear (the furry part) remains unaffected.

What to Expect

After your initial consultation with our surgeon, if you decide to go ahead with surgical repair for your companion’s condition, there are some details to consider in order to make the surgery and recovery process as smooth as possible for yourself and your companion. Below you will find a collection of key information to help you understand exactly what to expect. Once you have had a chance to review this information, we are happy to answer any questions or concerns you may have – please feel welcome to ask!

Typical Treatment Schedule

  • Surgery Day! – Generally a full day in hospital, with a morning drop-off and late afternoon discharge (plan about half an hour to discuss homecare details with our rehabilitation technician).
  • 2 Weeks Post-Surgery – Initial Progress Check – The opportunity for the surgeon to check on how the surgical site is healing, remove any sutures as needed, spot potential issues or concerns, and answer questions you might have about the recovery process.
  • 4 Weeks Post-Surgery – Second Progress Check – This additional progress check may be booked to assess how the recovery is going, discuss ongoing homecare or condition management for your companion.

Preparing for Surgery

Take the time before Surgery Day to prepare your home to welcome your companion back after their procedure. It’s much easier to make sure your space is prepared ahead of time, rather than struggling to sort things out with a groggy companion on your hands. Because you will need to restrict your companion’s movement after surgery so they can rest and heal, make sure you have an enclosed area of your home set up for them. You might want to move their crate or bed into the area, getting them used to where they will be spending most of their time.

One of the most important instructions to follow when preparing for Surgery Day is to stop offering your companion access to food about 12 hours before the procedure (but in most cases they should retain access to water). We generally flag 10 PM the night before as the cut-off time for food, although your vet will let you know if they recommend any changes to this. The reason it is so important to fast animals before surgery is to prevent them from accidentally inhaling any regurgitated food into their lungs while they are under anesthetic. Sometimes the anesthetic drugs can cause vomiting; because your companion’s muscles will be relaxed under sedation, their swallowing reflex is suppressed and it is easy to choke or inhale material into the lungs. For this reason, it is much safer to enter surgery with an empty stomach.

As the day of the procedure approaches, maintain your regular routine as much as possible so that your companion feels settled and secure. The day before, make sure to take them for a good walk or have a good play session so that they have a chance to burn off some extra energy, but avoid excessive roughhousing to make sure they’re not starting their day with sore muscles. Feed them their dinner at a regular time, and allow them to settle down for the evening as normal.

In the morning, plan ahead to make sure you’ve got a bit of extra time. Make sure that your wake-up time allows for morning medications to be given three hours before your appointment time. Take your companion for a short walk so they have a chance to go to the bathroom – if this isn’t successful, let the team know when you drop your companion off so we can make sure that they have another chance to go out before their procedure. Also allow plenty of travel time to get to the hospital, helping to minimize stress for everyone involved.

When you arrive, please feel welcome to ask us any final questions. We are happy to clarify anything, and will be looking forward to connecting with you after the surgery to let you know exactly how things went.

Pre-Visit Pharmaceuticals (PVPs)

PVPs are medications chosen to address specific neurotransmitters associated with fear, stress, and anxiety. They can have a sedating and anxiety-reducing effect, helping to keep your companion calm and comfortable on surgery day. Giving these medications before anesthesia also often reduces the volume of sedation drugs used during the surgery. We also typically prescribe a medication that helps to reduce any nausea they may feel from the anesthetic drugs, and can help them with their appetite when they return home.

Ahead of your appointment, the surgical team will discuss any ongoing medications or supplements your companion is taking, to evaluate if they will have any impact on the surgical protocol. It may be the case that you will need to stop giving some medications (such as those that impact circulation, for example) ahead of the procedure day.

On your admission form, you’ll also be asked to confirm the medications and dosages you are giving your companion – this information is very important, as having a full picture of the pharmaceuticals your companion is taking can help the surgeon create the safest and most effective anesthesia protocol possible.

Post-Surgical Care

Depending on the nature of your companion’s injury and the type of repair surgery required, the details of your post-surgical care may vary – during your discharge appointment, one of our veterinary technicians will go over exactly what you’ll need to do to support your companion. There will be a variety of medications to manage pain, prevent infection, and help keep them quiet during their initial recovery phase. Below you will find information on the key aspects of post-surgical care – please read through this information before Surgery Day, so that we can help answer any questions or concerns you may have.


A significant factor in ensuring a successful surgery is what happens after the main event – the lengthy and sometimes challenging recovery process. Fortunately there is plenty you can do to help your companion heal safely and rebuild their strength in the weeks and months post-surgery. While this homecare information applies generally to soft tissue surgeries, the important thing to remember about ear surgery is that many of these same activity restrictions apply because of the need to minimize excess blood flow (the side effect of raised activity levels) to prevent swelling and potential rupture at the surgical site.


After ear surgery, your companion’s ear will be bandaged in such a way that the ear flap is resting securely against the head – this helps prevent swelling and damage to the surgical site if they shake their head. They may have a fitted protective cap that also applies pressure and keeps the ear immobilized. At discharge, the surgical team will go over specifics of bandage care with you.

Additionally, an Elizabethan collar (a cone) is a plastic device that fits around your companion’s neck and is designed to keep them from licking, biting, or pawing at their surgical sites. Essentially, its purpose is to keep your companion from hurting themselves during their recovery – here’s how to help them stay safe and comfortable along the way.


Laser therapy assists in tissue repair by encouraging blood vessels to dilate – this increases the blood flow to the tissue, bringing in oxygen and the cells involved in the healing process. The main benefits of Laser therapy include decreased inflammation, decreased pain, and improved wound healing.