We may also send home medication to treat an ear infection if that is the cause of the head shaking.Īn aural hematoma is not life threatening however if left untreated it can be a very painful process for your pet and result in a deformity of the animal’s ear. Trazodone may be prescribed to be given 1 – 2 hours before your next appointment to reduce stress and anxiety for the next ear drain appointment. On occasion, we send our patients home with Prednisone (an oral steroid) to assist with itchy skin or swelling. This is to reduce inflammation and allow the ear to heal. A small amount of steroid is then injected into the area we just drained. Next, we insert a needle and use a syringe to pull the free blood out of the ear flap. When we drain the ear, we first disinfect the pinnae and apply a gel on the skin to freeze the area. I went to look at his ears on his walk and noticed that one looked swollen/fluid filled and knew it was a haematoma. His ears had been bothering him a bit at the time and he was shaking his head a lot. He has allergies, and his ears often bother him. In a small percentage of cases, we need to move forward with surgery if draining is ineffective and recurrence is persistent. Diesel had an aural haematoma a few months ago. There is also the option of surgical repair. It will be drained at your first appointment and every 3 days thereafter for three or four treatments as long as the amount the ear produces decreases at each visit.ĭraining the ear is the most favourable and least invasive treatment option as well as least expensive. The subcutaneous hemorrhage resolves over several weeks to months, leaving the pinna thickened and misshapen in most cases. The treatment for an aural hematoma is the process of removing the accumulated blood from the ear pinna. Aural (Ear) Hematoma return to Swine Manual index These common lesions are the result of trauma to the ear followed by hemorrhage between the skin and cartilage (or within the cartilage). Aural hematomas are often unilateral (one side only) but less commonly can occur in both ears. The incidence is more frequent in patients with ear infections and allergies. The exact cause of an aural hematoma is not completely understood, though it is commonly seen after aggressive head shaking or trauma to the ear pinna. It may become turgid or tight if it fills extremely full. It will appear soft and fluid-filled on the pinnae or flap portion of the ear. An aural hematoma is a collection of blood between the cartilage plate and surface of the ear. It’s very common in dogs who are prone to ear infections, especially if they have floppy ears rather than ears that stand straight up. Szijarto A (2014) A new operative technique for aural haematoma in dogs: a retrospective clinical study. Journal Small Animal Practice 57(7): 360364. Broken down, the word “Aural” means ear, “Hematoma” means an accumulation of blood outside a blood vessel. An aural hematoma, also known as an ear hematoma, is a blood blister that develops between the skin and cartilage of the pinna (ear flap). Hall J, Weir S, Ladlow J (2016) Treatment of canine aural haematoma by UK veterinarians.
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