Management and Clinical Outcomes of Cats With Ceruminoliths: A Retrospective Study of 31 Cases.

Ceruminoliths in cats require long-term monitoring; tympanic involvement is common and sometimes permanent.

This retrospective study examined 31 cats with ceruminoliths diagnosed between 2011-2024, focusing on clinical presentation, management strategies, and outcomes. Twenty-six cats underwent otoendoscopy-guided lavage under general anesthesia combined with medical therapy, while five received medical treatment alone. Common treatments included ceruminolytic cleaners and short-term systemic glucocorticoids (2-7 days). Tympanic involvement was frequent, with perforations observed in 10 cats and thickening/discoloration in five. At initial follow-up, 55% of cats were free of ceruminoliths; at final follow-up, 65% remained recurrence-free. Owner assessment data (n=15) indicated 60% positive response, with five excellent and four good outcomes. Notably, four cats developed tympanic scarring or irregularities, and one persistent perforation was documented. The study highlights the importance of recognizing tympanic pathology and implementing long-term monitoring protocols. Recurrence rates emphasize the necessity of investigating underlying predisposing factors in affected cats.

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