The fluid will be re-absorbed back into the body and the earflap will no longer bulge. If left alone, an ear hematoma will resolve by itself. Sometimes ear shaking just happens and there is no underlying infection, but be prepared for the expense and trouble of treating an ear infection along with that of the hematoma. The ear will need cleaning, microscopic examination of the discharge, and medication. This means that the ear infection must be treated along with the hematoma. Usually there is a reason why a dog has been shaking his head: an ear infection. What if There is a Concurrent Ear Infection? This method is generally successful but does involve the dog tolerating a gadget inserted in its earflap for several weeks as well as accompanying fluid drainage. The hematoma is drained of fluids and allowed to heal over the next several weeks. Teat cannulas can also be surgically placed in a dog’s aural hematoma if the earflap is large enough to accommodate the device.
It can be placed in the opening of the teat to allow drainage of milk or infected discharges. Usually other methods are utilized.Ī teat cannula is a small device used in the treatment of udder inflammation in cattle. If the clot in the hematoma is already well organized and on its way to scarring, there may not be much fluid left to aspirate and the technique may not work at all. The benefits of the aspiration method are that it is inexpensive and relatively easy to perform but the disadvantages are that it may introduce infection and may require multiple attempts. The problem is that a space is left behind when the fluid is removed and this space readily refills with more fluid leading to only temporary results. This procedure involves simply using a syringe to remove the fluid contents from the hematoma. Some veterinarians will use low-level laser therapy in the treatment regimen for aural hematomas. The following are some commonly performed procedures. You and your veterinarian need to discuss the best way to treat your pet.
Some veterinarians have good results using medical therapy, treating with a corticosteroid. There are probably as many ways of correcting ear hematomas as there are veterinarians. To maximize the ability of the ear flap to stand up straight after hematoma resolution or to prevent excessive scarring in the ear flap for cosmetic reasons.The hematoma should be repaired if the owner feels the heavy ear flap is unacceptably uncomfortable for the pet.A permanently narrow ear canal can predispose the patient to a lifetime of ear infections. The hematoma is in a location where natural healing will create scarring in such a way that the ear canal will be permanently narrowed.In this situation, the hematoma must be relieved before the ear canal can be accessed. If this is the case, the ear cannot be evaluated for infection nor can any infection be treated. The hematoma is so big that the ear canal is occluded (blocked).There are several situations where the hematoma should be repaired. The earflap will feel fluctuant and fluid-filled, like a water balloon.Ī small hematoma may not actually be a problem and may not require repair. This condition is more common in dogs but can occur in cats as well. The extra weight of the earflap may be uncomfortable and may lead to a permanent change in the carriage of the ears. The swelling may be so large that the opening of the ear canal is occluded. The earflap may partially or completely swell with blood. Hematomas in the earflaps (aural hematomas) occur when head shaking breaks a blood vessel within the earflap. Photo by MarVistaVetĪ hematoma is swelling created by a broken blood vessel after bleeding has occurred inside a tissue.
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