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Owners have to be prepared for complications, which may include a change in cosmetic appearance, hearing loss, damage to the balance system resulting in loss of equilibrium, and damage to the facial nerve, resulting in facial palsy. These can be temporary or permanent.

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Before considering referral for this radical and pricey surgery, we decided to determine if the growth was malignant. If this was a nasty cancer, it might change the prognosis and affect our decision on how to proceed. This did not remove the root of the mass, so it was bound to regrow, but gave us enough tissue to send for biopsy. As suspected, it was a ceruminous gland adenoma — a benign tumor that originates from wax glands in the ear lining.

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The prognosis was great, if it could be completely removed. I consulted specialists. One suggested laser surgery. A fairly quick procedure, this would be relatively inexpensive, and much less invasive than TECA. It would still require general anesthesia, but not for as long.

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A cardiac workup first was suggested, but not required. The procedure went well. Lily came home, no longer splattering blood all over the house … but two months after the operation, the dramatic bleeding began again. Within five months the mass had regrown to its previous size. TECA was really the only solution. Lily was almost 13 by this time.

She had a significant heart murmur. How long was she likely to live, considering her cardiac disease?

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Could she even survive more surgery? The board-certified veterinary surgeon strongly advised assessing her heart thoroughly first. The cardiologist diagnosed mild to moderate hypertrophic obstructive cardiomyopathy, prescribed medication, and said he felt that Lily was not too high-risk for the surgery. Two weeks later, Lily had a total ear canal ablation.

Surgery went well. She tolerated the anesthesia beautifully.

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