![]() During this long process though, your pet will be in discomfort. If an aural hematoma was left alone, it would eventually be broken down and reabsorbed by the body. If you and your vet choose to go this route, expect to be draining the ear every other day or so for at least a few visits. The stitches we place help close the dead space and prevent the ear from filing up again, but simply draining it does not. Draining the ear will help temporarily, but in the vast majority of cases, the hematoma will return in a day or two. We will discuss the underlying cause and talk about how to treat and prevent that problem as well. You will need to keep the Elizabethan collar (aka cone of shame) on to prevent any more scratching while the ear heals. What happens when I bring my pet back home? In addition to treating the hematoma, we will be looking for the cause by flushing and scoping the ear canal. This also promotes controlled scar tissue, which decreases the chances of having another hematoma in the same ear. The empty space left where the blood clot was (called dead space) is removed by placing multiple stitches through the skin and cartilage. During the procedure, we will drain the blood through several small holes. It’s best to have the hematoma treated as soon as possible to minimize discomfort to your pet and to prevent permanent disfiguration of the ear. Dogs with long floppy ears are more prone to this problem, but it can occur in any dog, and we’ve even seen it happen in a cat. Excessive head shaking (from an ear infection or allergies), scratching, or bite wounds can all cause an ear hematoma. The hematoma occurs when a blood vessel in the ear bursts and leads to blood stretching and filling the space between the skin and cartilage. Surgery is considered more likely to definitively treat the condition with good cosmetic results.A hematoma is a localized swelling from blood leaking into a confined area or organ, in this case, the ear flap. ![]() This study describes the relative popularity and perceived success of treatments used for aural haematoma in the dog. Cosmetic results with medical management were excellent and with surgical treatment were good. Recurrent haematoma was treated more commonly with surgery (67%) than that of the initial presentation. The most common reason to select a particular treatment was previous success (76%). Surgical procedures included linear incision with sutures alone (35%) or sutures plus stents (24%) and an S-shaped incision with sutures (23%). On initial presentation, treatments included needle drainage with local deposition of corticosteroids (43%), surgery (29%) and needle drainage without corticosteroids (16%). Totally 312 email addresses were invalid, 259 questionnaires were completed (12♵% response rate) and 251 were included in analysis. Questions investigated treatment selection for initial and repeat presentations of aural haematoma in dogs and their opinion of treatment success to prevent recurrence and for good cosmesis. Totally 2386 emails were sent to veterinary surgeons and practices inviting them to complete an online survey. To survey the current treatment techniques of aural haematomas in dogs and investigate veterinary opinion regarding treatment success.
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