Vi, a 15 year old terrier, came to see dermatology due to hearing loss over the last 2 years. She had been treated for otitis (ear infections), but the hearing didn’t return so her primary vet sent her to see Dr. Hansen. After her initial evaluation, an anesthetic procedure was performed called a video-otoscopy where a specialized camera hooked up to a TV screen is inserted into the ear to allow better visualization of the ear canal and tympanic membrane (ear drum). Vi was found to have a large wax ball called a ceruminolith completely obstructing her right ear and a smaller one in the left. Using the specialized scope, we were able to remove both ceruminoliths (one had to come out in small pieces) and flush any remaining debris out of her ear canal and found that her tympanic membranes looked normal in appearance. It is too soon to tell if her hearing will return, but the owner has reported to us that Vi is doing great.