Taking them out too soon can result in another hematoma forming in the same spot. Healing is complete in about 4 weeks after the surgery. This is continued until the serum is no longer weeping and the concave pinna remains dry Dabbing the pinna is preferred over rubbing the pinnal skin with the washcloth. Postoperative care at home involves removing any accumulated serum weeping from the drainage holes on the surface of the concave part of the ear flap, using a washcloth soaked with warm water applied to the pinna twice daily. During healing, the skin will be tacked down and the circular holes the laser The skin is opened in numerous places over the hematoma, the bloodĪnd clots are removed, then the skin of the ear flap is sutured to the underlying cartilage to obliterate the space created by the hematoma. Laser hematoma correction results in almost no disfigurement of the pinna. The skin and cartilage have to heal back together without causing the shape of the pinna to change after healing.Īt Animal Hospital of Montgomery and Montgomery Pet Skin and Ear Clinic, we surgically correct aural hematomas using a CO2 Laser.The blood under the skin has to be removed before organizing occurs.The treatment for aural hematoma is surgery! Over the years, many veterinarians have tried non-surgical remedies for aural hematomas, but they fail miserably. Often, the misshapen ear flap will actually cover the opening of the ear canal making hearing difficult. (In human boxers, this is known as a cauliflower ear). This will lead to contraction of the scar and disfigurement of the ear flap. The blood pocket will eventually clot and scar tissue will be laid down to heal the holes in the blood vessels. If left untreated, an aural hematoma will do what is known as organizing. Without relief from this head shaking trigger, the dog or cat will only make things worse. Methods: Totally 2386 emails were sent to veterinary surgeons and practices inviting them to complete an online survey. So it is very important to be able to identify the source of the pain or itching it may even be present in the opposite ear. Objectives: To survey the current treatment techniques of aural haematomas in dogs and investigate veterinary opinion regarding treatment success. This can be from ear infections from bacteria or yeasts, ear mites, or even painful middle ear infections. The dog or cat senses this and shakes the ear even more creating trauma to the ear flap.Īural hematomas are often accompanied by pain or itching in the ear canal. A large accumulation of blood under the skin makes the ear flap blow up like a pillow creating a thick, soft, heavy ear flap. Head shaking is usually involved in creating an aural hematoma. Gotthelf, DVM Member American Academy of Veterinary Dermatology Does Your Dog or Cat have a Puffy Ear Flap?Īural Hematoma in part of the pinna (ear flap)Īural hematomas form when blood vessels break between the ear flap skin and the underlying cartilage of the ear flap, known as the pinna. Aural (Ear) Hematoma in Dogs and Cats Louis N.
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