Bella is a 7 year old female spayed bulldog that presented to our clinic for lethargy, inappetance, and swelling of the head. Upon physical exam, chronic severe ear infections have caused her ear canals to thicken and harden (calcify) to the point where the canal closed off, locking infection inside. The infection got so bad that her body had to find the path of least resistance to try and drain the infection. The infection then began to come out of a facial draining tract and through the periorbital rim (the eye). The case was so severe that the patient required a surgical repair. The surgery, called a TECA-BO, involves removing the entire ear canal and a bulla osteotomy, which is to remove epithelium from the bulla of the skull that can secrete substances and allows drainage. Some complications that could possibly occur include infection, dehiscence, facial paralysis, draining tracts down the road from body secretions/infection, head tilt among other typical surgical risks such as anesthesia. Fortunately, everything went great with Bella and so far she's doing well, playing again and back to her old self.