Brachycephalic [brake-ee-cef-AL-ick] — or flat-faced — dogs have lots of health challenges related to their altered anatomy. Their respiratory issues get lots of press but their ear problems, not so much.
Compared with dogs with normal facial anatomy, brachycephalic dogs have narrower ear canals, allowing dirt and bacteria to get trapped deep in the canal next to the eardrum. From there, infections can break through into the middle ear cavity near the brain. Nerves regulating balance, eye movement and blinking traverse this area too, so affected dogs can get dizzy and nauseous, develop a head tilt and even lose the ability to blink, which can severely damage their eyes.