![]() Dealing with these problems makes treating the haematoma much more likely to be a successful, permanent solution to this uncomfortable and unsightly condition. With any of the possible treatment options, your vet may also have to address any underlying causative factors like ear mites, infection and foreign objects. This approach allows your vet to remove all of the fluid and suturing the two layers together forms a strong fibrous bond between the two and helps to prevent a recurrence. This involves giving your pet a full general anaesthetic, draining the fluid from the pinna and then suturing the two flaps of skin together. Most cases, however, go on to require surgery. If there is only a mild swelling and there are other complicating factors (like old age or other ongoing disease problems) then your vet may suggest a course of medication and leaving the haematoma to be partially resorbed with time. Various differing approaches may be tried in the treatment of aural haematomas. This ‘self-abuse’ can very easily damage the fragile blood vessels within the pinna and cause an aural haematoma to form. ![]() All surgical approaches are performed under heavy sedation or general anesthetic, and the pinna is aseptically prepared. The most commonly reported approach is a linear incision with sutures (6). If the scarring is severe it can partially obstruct the ear canal. Treatment can include needle drainage +/- steroid infusion or surgical drainage with suture placement. Surgery is the most common treatment choice for recurrent or persistent hematoma in dogs and cats (6). Small hematomas may heal without a problem but any hematoma has the potential to cause scarring of the ear, which can result in a crumpled looking ear. Ear infections, mites, inflammation and foreign objects can be very uncomfortable and your pets reaction would probably be to shake its head or scratch vigorously at the ear. Anything that causes the dog to flap its ears can make this happen and it appears to occur spontaneously in a number of dogs. This damage to the blood vessels may be caused by any form of trauma like being hit by a car or bitten by another animal, but it is most commonly caused by the pet itself. An aural haematoma (blood blister of the ear) forms when one or more of these vessels rupture and the leaking blood pockets in the space between the two layers of skin. ![]() Each one of your pet’s ear lobes (pinna) is made up of two layers of opposing skin held together with fibrous tissue, with nerves and blood vessels running between the two layers.
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