Pets with clotting or bleeding disorders may also develop hematomas, with or without a history of trauma. Sources of irritation to the ear linked to the development of an aural hematoma include:ĭogs with long, floppy ears are at greater risk for developing ear hematomas. It is also possible that a foreign body initiated the shaking but was later dislodged. In some cases, there may be a piece of foreign material lodged in the ear canal, such as a tick or piece of grass. The blood then accumulated between two layers of cartilage, inside the ear flap. Dogs with ear infections may violently shake their head or scratch their ears causing an aural hematoma. Trauma to a small blood vessel made it bleed under the skin of the ear. This is most commonly associated with trauma such as scratching, shaking the ears, or bite wounds. When ear infections or mites do occur, they should be treated promptly to avoid the formation of a hematoma.Does your pet have an Aural Hematoma? Click to Make an Appointment How Does An Aural Hematoma Occur?Įar hematomas occur when a blood vessel in the ear bursts and bleeds into the space between the ear cartilage and skin. Preventing ear infections and ear mites will also help prevent the formation of hematomas in your dog. In some cases, despite prompt and appropriate medical care, scarring can result in slight deformity of the earflap. The E-collar must be worn to prevent your dog from scratching at the wound, which could result in trauma to the area and removal of the bandage and/or stitches. You will also need to monitor the bandage.Ī follow-up appointment will be needed so your vet can assess healing. At home, you may be asked to administer medications by mouth or in the ear via a hole in the bandage. Alternatively, a surgical incision with strategically placed sutures may be placed through the earflap to discourage the accumulation of fluid and encourage drainage.Ĭuring an ear hematoma also means dealing with the initial disease that caused your dog to shake their head in the first place, whether it’s an ear infection, mites, or something else.Īfter ear hematoma surgery, the veterinarian may place bandages over your dog’s ear and head and will recommend an Elizabethan collar. In most cases, a drain is placed in your dog’s ear to keep additional fluid from building up within the earflap. In this procedure, the hematoma would be pierced and drained under anesthesia, but it is likely to recur and may need to be drained multiple times. Your vet might also suggest surgical drainage if they are concerned that scarring may lead to permanent deformity of the ear canal. Surgical drainage of the ear hematoma may be recommended if the swelling is large enough to cause pain, discomfort, or blockage of the ear canal. Underlying conditions such as ear mites or ear infections will also need to be treated. These may also be used in combination with surgical treatment, such as ear drainage or an incision. Steady pressure will slow help reduce the pooling, but the circular massage is the best technique. It will take, depending on the type of dog and the size of the hematoma, between a half hour and an hour to move the pooled blood out of the ear. In some cases, when medical management is attempted, medications such as steroids, antibiotics, and/or pain relievers may be used. The idea is to move the pooled blood back into the blood stream and out of the ear. Several different dog ear hematoma treatments exist to reduce the swelling.
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