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Daniel | 4 months ago
Ear Hematoma In Dog Is An Affliction Which Gets Too Much Attention For Needing Surgery To …

Ear hematoma in dog is an affliction which gets too much attention for needing surgery to repair. In fact, surgery seems to cause more damage than the hematoma itself. First, let’s look at the cause. Something has happened to rupture a feeding artery into the pinna. An underlying condition contributing to ear irritation most likely made the dog rake the ear against something or shaking the ear repeatedly. Either way, an artery is the only blood vessel strong enough to release fluid pressure to tear apart the tissues binding the skin and cartilage. These tears as well begin releasing fluids into the now ever-growing hematoma being created. Here is where different approaches to treatment occur. Should the vet address the blood pool only and aspirate once or multiple times? Should the vet incise the ear and suture the skin back to the cartilage? Should the vet install a drain or allow fluids from the bleeding vessels to exit the ear? In my opinion Yes, No and No. Aspiration alone relieves fluid buildup without harming or wounding. If coagulation has already begun, then a hypodermic needle aspiration will be non-effective. With an early onset hematoma, a hypodermic needle aspiration is pet and pet parent friendly with both relieving the pain for the animal and keeping costs down for owner. However, aspiration is not going to fix the broken blood vessel. The only way to repair the broken blood vessel feeding the hematoma is to allow the animal time to build reparative tissues to seal the break. These repairs take place while the aural hematoma condition is in suspension, meaning the hematoma is no longer filling, the fluids become still allowing for rapid coagulation to begin growing granulation against both skin and cartilage, and the once flowing broken blood vessel now has back pressure against it and the site of break begins to seal and heal. This occurs naturally in untreated aural hematoma. Consequences are that the bulbous blood clot formed is reduced in a fashion where granulation has attached all skin and cartilage to the blood clot, and as the clot is reduced towards the center, the skin and cartilage are pulled along with it causing the shrivel. Since in this scenario the amount of shrivel is proportionate to the diameter of the blood clot, then the solution would be to limit the blood clot size to as thin a layer as possible, making the skin and cartilage in as close proximity as possible at time of blood clot coagulation and granulation. This process is not foreign to veterinary medical. Splinting the auricle for a duration of time will achieve natural healing by allowing a thin layer of blood clot to form in the entirety of the hematoma region. The thin layer acts in the same fashion as a natural bulbous clot, but without the consequences of crinkling the ear after reabsorption. Keeping an open mind to aural splinting for aural hematoma can and will bring new Holistic medical treatments needed to address the current clinical duress patients and their owners are now having to endure.

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Jessica | 4 months ago
I Have A 12 Year Old Cat Who Developed An Aural Hematoma. He Had Surgery Two Days …

I have a 12 year old cat who developed an aural hematoma. He had surgery two days ago (Friday) to drain the ear and this evening (Sunday), it started to swell up again.

Is this to be expected? He started shaking his head as well and not sure how to prevent him from doing so.

Unfortunately it is late at night and I am not able to reach the vet. Any assistance is greatly appreciated.

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suzanne martucci | 3 years ago
I Am Helping Someone Who Rescued A Young Female Stray Cat A Few Weeks Ago…

I am helping someone who rescued a young female stray cat a few weeks ago. No microchip. The plan is to get her vetted and adopted. She tested positive for ear mites , & tapeworms. She has had 2 applications of Revolution , 2 weeks apart, per vet instructions. She had an ear hematoma that the vet drained and sutured. The vet gave her virbantel dewormer tablet , and she is now due for her second dose, the info with this product states it is for dogs and puppies only. She didn’t get that 2nd dose, will consult with vet about it – recheck visit tomorrow. My question is about the virbantel tablet, is it safe for use on cats? What are the risks ? She has had other symptoms that we thought were unrelated , now I am wondering if the 1st dose she received at the vet had some side effects. Also she was shaved to check for a spay scar, I attached photo. Looks like there were two incisions. Any thoughts and or advice would be greatly appreciated. Thanks!

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  1. Krista Magnifico

    Hello,
    If you are under the care of a veterinarian then please forward these questions to them. It is not possible for us to answer what is it is not safe for your pet as we don’t know anything about their current health status or history. These are obtained during a physical examination with your veterinarian.

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Jen Behler | 4 years ago
My Dog Has A Drain In His Ear For An Aural Hematoma. It Has Been…

My dog has a drain in his ear for an aural hematoma. It has been in for a week and is supposed to be in for 2 more but it appears as though it may be coming out. What happens if it comes out before we get to the vet?

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  1. Krista Magnifico

    Call the vet ASAP and see if they can adjustbit so it doesn’t come out prematurely. I don’t know what kind of drain they used but often I can resecure it in place quickly and easily. Let me know what happens

  2. Jen Behler Post author

    Hi Dr. Magnifico,

    We actually go to JVC and have an appointment Monday (10 days from puttin it in)for the drain to be checked. I will call today but I know you have limited hours. Thanks for responding!

  3. Krista Magnifico

    Hello!
    Thanks for letting me know. If you are worried Dr. Ahrens is working today. She can help. Weather permitting I am there tomorrow. Who put the drain in for you?
    And send a photo I might be able to help via that.
    Thanks for using Pawbly. And Jvc.

  4. Jen Behler Post author

    Dr. Graf put it in last Friday. I called this morning and she actually has an appointment this afternoon so we are going in at 1. We are new to JVC but love it so far! Thanks so much for your help!

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Stephany Reed | 4 years ago
My 14 Year Old Cat Has Had A Ear Hematoma For A Really Long Time…

My 14 year old cat has had a ear hematoma for a really long time. i was reading online that it will go down on its own but it has not should i take him to the vet?and what is the cost to have the surgery done?

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  1. Sarah

    Good morning. Hematoma can take a very long time to heal. If it seems to bother your cat or make them uncomfortable, then you might want to talk to your vet about surgery options. However, if it isn’t bothersome or painful, I would try to let the body heal on its own. Surgery is stressful. Hope this helps. Best of luck to you and kitty??

  2. Krista Magnifico

    Hello,
    A hematoma can only last so long and then the blood starts to calcify and the result (usually by bout 4 weeks) is a thickened deformed ear that cannot be repaired. Of greatest concern to me in these cases is the origin of the hematoma? What caused it? Infection, parasites, trauma, a mass in the ear, allergies, etc? Please speak to your vet about identifying the cause and possible treatment options. The costs vary between medication and extensive surgery, or about $50 to a few hundred. Good Luck

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Jamie Bartram | 4 years ago
Hematoma. My 10 Yr Old. Dog. Just Had Surgery A Week And Half Ago…

Hematoma. My 10 yr old. dog. just had surgery a week and half ago and the base of the ear is filled back up, hot to the touch and painful. Im worried she needs surgery again but I feel like. my vet screwed up and I cant afford another 600 bucks to fix it. If he did the surgery right shouldnt it have a drain spot left open and should he fix this again on his dime. Should I look for a new vet? In 10 yrs my dog has never had problems with her ear. Im so upset to see that its filling back up a week and a half later. Shes miserable 🙁

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  1. Sarah

    Hi there. I’m so sorry you’re dealing with this. My first thought, is to call the vet and let them know this happened. Get some relief for your dog- antibiotics? Pain meds? Then I would ask their thoughts on whether a drain should have been used, and what the next step would be. You have to trust your vet. If you aren’t happy with the results of your discussion, you should probably seek a second opinion elsewhere. I hope things work out.

  2. Krista Magnifico

    Hello,
    In my opinion every aural hematoma will fail IF the underlying cause has not been discovered, addressed and treated. No matter what you do or how much you spend. Please call your vet and ask for relief for your pup. I wish you the best of luck.

  3. Jamie Bartram Post author

    Krista,
    We have no clue what caused the hematoma. There was no infection and we never saw trauma cause to it. I took her back in today. While there the vet noticed there is gunk in her ear (was not there before, he looked when performing surgery) Also when there and I removed her No flap ear wrap she shook her head and tore a stitch when the the ear was able to drain. Vet suspects the no flap ear wrap created an area for the ear to now get infected and also wasn’t keeping the war secured. So aby head shaking caused the ear to fill back up. I asked about a drain spot and he says that he did that with an S shape incision but stated that they close up fast. He wants her back on prednisone (what we tried before surgery) at a higher dose. Pluse continue antibiotics for longer. I dont really like the prednisone idea.
    What and how do you vets treat these things?

  4. Krista Magnifico

    Figure out why she is shaking her head and address that. In my opinion if I think it is allergies I try a steroid, antihistamine or try apoquel. These cases can be frustrating. But a red ear is an inflamed/irritated ear and these cause head shaking which causes hematomas. You have to relieve whatever is causing the irritation. I start there. Not just surgery or ear wraps.

  5. Jamie Bartram Post author

    Krista,
    My last response isnt showing 🙁

    I’ll tru again.

    We don’t know what happened. I got home from work and noticed her ear all wonky. I checked her ear and noticed a small “pillow” Got her in the next day. Dr checked her ear canal (no infection), prescribed prednisone and sent us on our way. Over the nexr week ot got. huge. Took her in again and surgery was done that day. He checked the canal again and saw nothing. Then took her back. for. post op.recheck and. they removed her bandages and. put the no flap on

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Tyler King | 4 years ago
Hello, My Cat Has Ear Hematoma Due To The Poor Care It Received From Its…

Hello, my cat has ear hematoma due to the poor care it received from its last owner. I happen to know it was well cared for after that owner by others for a short time, and that it is due to mites, not a reocurrIng issue. However I cannot afford to take my cat into the vet repeatedly to hopefully solve the issue.. Are there any at home treatments I can do to help my furry friend relieve his ear??

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  1. Sarah

    It may resolve on its own? However, since this cat is new to you, I would still go to the vet to have a first checkup and make sure everything is up to date, up to speed and generally in good standing with kitty. Plus it is avoid way to establish the new patient/doctor relationship.

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Lilia She | 4 years ago
Hello, My Cat Has Gone Under Right Ear Hematoma Surgery On Sunday. 15 Stitches And A…

Hello,
My cat has gone under right ear Hematoma surgery on Sunday. 15 stitches and a 2-3 cm single cut has been made to drain the blood and prevent the ear from filling up again, plus antibiotic syrop. After two days it got swollen up again, we came for a check in – the vet stuck a metal thing in the cut, popping up the liquids (not blood), without draining them completely (the cat hid in it’s bag and the vet didn’t even try to proceed until full disinfection), sold me a cleaning fluid and send me home telling me I need to clean his ear everyday (how can I, unequipped drain the liquids and disinfect them at home?) , until we get into check in again. What I’m asking is, how professional is it to send a client who paid good money for his pet to be rid of his ear problem by surgery intervention to be sent home to clean the skin around the closed cut of a filled with liquids ear (probably even with an infection) will help the ear to heal? Should I try another vet? Or is it alright for the ear to get swollen after surgery and will cleaning, outside without draining the fluids, help?

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  1. Sarah

    Hello-
    Sorry about your troubles. My first piece of advice would be that if you aren’t comfortable with your vet/vet office, speak to them about it and voice your concerns. If after that you still don’t feel good about them, then I would find avet that you do trust. Secondly, hematoma take a lot of time to heal or reabsorb. It is not uncommon for them to fill up again. I would call the vet you are currently using today, express your concerns and see if they have anything else to advise you as far as how to go about cleaning it. Good luck!

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Lindsay Miller | 5 years ago
My Cat Has Had A Ear Hematoma For 7 Months .i Have Not Taken Him…

My cat has had a ear hematoma for 7 months .i have not taken him to the vet because i was told it would go down. Will it ever go down? Should i take him to a vet? Thanks.

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  1. Julie Brader

    Hi, if your cat has had a hematoma for 7 months, he needs to see a Vet. Chances of it healing itself after this long are remote. There could be infection present in the ear also. So yes, do take him to your Vet. Hope your cat recovers soon.

  2. Krista Magnifico

    Hello,
    I agree with julie. Your cat needs to see a vet. After this long there is almost no chance that there is still fluid in the ear pinna. I would guess it has all hardened into causing the ear to look shriveled and deformed. Which is not treatable or correctable. I also worry about cancer. Please see your vet.

  3. Julia Morrell

    first, stop vaccinating as the toxins add an increased chance of tumors and supress the immune system.

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Paw Mama | 5 years ago
I Have A Mystery Condition That Causes Cat To Violently Scratch At His Face Constantly…

I have a mystery condition that causes cat to violently scratch at his face constantly. He lives in a cone because once removed he scratches violently. He only scratches at two spots. has been treated for fleas/ticks/mites. Skin was UV light tested. X-rays done when a mass popped up behind his ear. Not ear mites. No infections. Eyes were tested. Awaiting biopsy of a mass (removed)behind his ear & lesion under his tongue. Constant head shaking in that Cone has caused an aural hematoma. Vet is mystified!

A few questions. Can I give my cat metacam and trazodone together ? They were prescribed separate times to treat his destructive scratching at his head and face. We’ve since removed a mass behind his ear and taken biopsy of 3 other lesions. One under his tongue. He has been treated for mites and fleas etc. X-rays and UV testing. He has lived in the cone of shame for about 5 months now. He scratches like mad within seconds of removing it. A bloody mess everytime it heals. It is very localized which makes it hard to be (food)allergies?
He just had surgery to fix the aural hematoma caused by his violent head shaking and cone scratching. (No ear mites either)

So he is in an extreme amount of discomfort. He was given a 2 week injection of antibiotic and sent home with metacam. However. The ear now seems very inflamed. It is stitched down to a piece of surgical ‘plastic’ to keep from refilling I think? He is trying to scratch at it so much. He had caused a severe infection in his back toe from scratching at that cone so intensely. It will need amputation.

It is like taking apart an engine. We are awaiting the biopsy results but until then his poor surgery site seems so uncomfortable.
I’m not sure if I should clean it? His head shaking still causes the ears to tap at the cone edges causing such tenderness the poor guy needs to be so sedated to get rest.
Any advice is great advice! Thanking you in advance.

Symptoms started after he started going outside for the first time, one small wound turned into his face being scratched off. so I got him his first set of shots and an antibiotic injection. Medications tried include: numerous antibiotic injections, metacam, trazodone/tramadol for sedating effects to stop scratching. Cyproheptedine. Advantix/flea tick and mite treatment. His X-rays revealed nothing other than an elongated heart. I had his brother who died suddenly at 15 weeks (heart attack?)

———-/////———–//////———————/////——-///////
*** update ~vet visit for biopsy results **^

Hello and Thanks so much for your advice! I saw my vet today for the results. Also because My cat has continued to shake his post surgery ear which split the tip open. Healing post-hematoma has been botched. So they will be removing the ear flap and cauterizing the edges.
As for the biopsies I’ll summarize point form the microscopic interpretations.

Skin: ulcerative dermatitis, pleocellular with eosinophils, low grade to moderate with granulation tissue proliferation with superficial bacteria.

Tongue : ulcerative glossitis, eosinophilic rich with collagenolysis.

Mass from behind bottom of ear: hyperplastic/reactive, draining lymph node.

So basically what he said was its food allergy or an external (who knows what) allergy.
However in the report it noted that these types of allergies usually respond to corticosteroids. He was given about 3 cortisone injections which did nothing.
So at this point we try the vet diet like you recommended.
He will be sent home with prednisone for the recovery of his ear once again.
So basically what we face is should we try the blood test 300$ to narrow allergens down?? Or do we try vet diet first. (I’ve gone into debt with these bills )
The most pressing issue is how to calm the scratching at his cone, head and ear shaking. It is constant. To the point where he doesn’t stop unless we snugly bandage his ear/head. And heavily medicated him. (Trazadone) The pressure helps.
I just want him to be able to get some rest. And not have us constantly bombarding him to clean his wounds. Wrap his head. Clean his cone. Ouff. My poor boy. He’s starting to get real annoyed with all of the fussing over him. However he is actually gaining weight!
I also asked about feline herpetic just in case and he said there are no upper respiratory signs present. And X-rays for the chest and head were all clear.
I pray we find something that works for the itch.

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  1. Paw Mama Post author

    Thanks so much for your advice! I saw my vet today for the results. Also because My cat has continued to shake his post surgery ear which split the tip open. Healing post-hematoma has been botched. So they will be removing the ear flap and cauterizing the edges.
    As for the biopsies I’ll summarize point form the microscopic interpretations.

    Skin: ulcerative dermatitis, pleocellular with eosinophils, low grade to moderate with granulation tissue proliferation with superficial bacteria.

    Tongue : ulcerative glossitis, eosinophilic rich with collagenolysis.

    Mass from behind bottom of ear: hyperplastic/reactive, draining lymph node.

    So basically what he said was its food allergy or an external (who knows what) allergy.
    However in the report it noted that these types of allergies usually respond to corticosteroids. He was given about 3 cortisone injections which did nothing.
    So at this point we try the vet diet like you recommended.
    He will be sent home with prednisone for the recovery of his ear once again.
    So basically what we face is should we try the blood test 300$ to narrow allergens down. Or do we try vet diet first.
    The most pressing issue is how to calm the scratching at his cone, head and ear shaking. It is constant. To the point where he doesn’t stop unless we snugly bandage his ear/head. And heavily medicated him. (Trazadone) The pressure helps.
    I just want him to be able to get some rest. And not have us constantly bombarding him to clean his wounds. Wrap his head. Clean his cone. Ouff. My poor boy. He’s starting to get real annoyed with all of the fussing over him. However he is actually gaining weight!
    I also asked about feline herpetic just in case and he said there are no upper respiratory signs present. And X-rays for the chest and head were all clear.

  2. Krista Magnifico

    hello,
    thank you for the follow up. I would probably talk to the vet about trying to manage the current infections and itching while minimizing environmental allergens (fleas, household products) and attempting a food trial. I dont usually do the derm allergen trials until everything else fails. Just my opinion. Get your cat comfortable and see if this was just a one time occurrence.. (fingers crossed).

  3. Krista Magnifico

    Hello
    I am sorry to hear about your cat. I think it sounds like you and you vet have done a very good job with the basic diagnostics. I also think that the most likely place for the answer at this point is the biopsy.
    Your vet should be the only person to advise you on the medications for your pet. Please call them and ask for assistance today with keeping your cat comfortable and further self-traumatization.
    Here are a few hints based on the description and photos that I would talk to your vet about;
    1. Herpetic dermatitis and a famcyclovir treatment trial
    2. referral to a dermatologist
    3. If all else fails discuss a steroid treatment trial as a last ditch treatment option.
    please let me know how things go.
    krista

  4. Krista Magnifico

    hello again,
    I should also add a note about dietary allergy.. it might help to try a prescription diet like z/d.. please also ask your vet about this.

  5. Paw Mama Post author

    Hello again,
    Here is another update!
    Surgery has been performed to remove the piece of the ear flap that was split in two from hitting against the cone plastic so often (head shaking)
    It was then cauterized, and the stitches from the previous aural hematoma surgery were removed along with the piece of surgical flap that was stitched to his ear (to prevent blood reabsorption?)
    *Sent home with 4 medications
    -Gabapentin (via dropper) 2x a day for 7 days
    -Prednisone tab 1x a day 7 days, half a tab 7 days then every other day
    -Surolan in the affected ear 2x a day for 14 days
    -A derm cream to scabbed/wound areas on face 2-3x a day for 14 days
    -Strict diet of Hills Vet Diet Duck and Pea dry formula D/D food and skin allergies.

    We have surpassed all medication cycles besides the prednisone which is half a tablet every other day.
    Its about 2 weeks into the food diet
    Symptoms: first week scratching at his head (cone) and head shaking was reduced significantly. He was very playful and destructive (back to his old self)
    The 2nd week he started with a couple expected uncomfortable scratches at his head a day. But still eating and playing
    He has escaped outside a couple times (we have 3 dogs that need potty breaks) But he’s back in shortly as its gotten much colder since the last time he was out.
    Now passing the second week, going off most meds he is starting to scratch at the cone again…a lot, usually as the prednisone tablet starts to wear off? 🙁
    I’m not sure if its just his ear being really uncomfortable from all of the surgeries.
    however it is healing well! So long as he cannot get his back claws to it.
    We do clean and switch cones daily. we’ve found a ‘comfy cone’ which saves his ear tips in case he decides to head shake again.
    Anyways, Not sure what the next step is… Very tough.

    Thank you again for your advice, it has gotten to the next steps 🙂