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It is really difficult to know what topical treatment options to consider when dealing with a ruptured tympanum. When a difficult multi-drug resistant Pseudomonas otitis occurs, it is very common to have the tympanum ruptured. So, what do you do? Being cautious and upfront with owners about labeling is important. However, bad infections are also ototoxic and it is important we treat them appropriately.

On this week's episode of The Derm Vet podcast, I discuss things to consider when dealing with a ruptured TM, what to do if you do experience a case with ototoxicity, and considering the risks/benefits of selecting treatment for difficult otitis cases.

00:00 Intro
00:25 Treating ear infection
02:23 Ear Exams
04:36 Most commonly reported to be ototoxic
09:15 Dogs with ear infections going on for a long time
10:28 Risk vs Benefit
11:20 Summary/Outro