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Aural Hemotoma West Midlands

Aural Hematoma Treatment in the West Midlands


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). 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.

The condition occurs when trauma or an injury to the ear flap causes the small blood vessels inside the pinna to break and leak internally, resulting in a blood-filled swelling.


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Aural Hematoma Treatment West Midlands

Aural Hemotoma FAQs


Canine aural hematoma refers to the accumulation of blood within the ear flap of dogs. This condition typically arises from the rupture of blood vessels within the ear, leading to the formation of a blood-filled pocket between the layers of cartilage. One of the hallmark signs of canine aural hematoma is the noticeable swelling or distension of the affected ear, often accompanied by a firm, fluctuant texture upon palpation. This swelling results from the pooling of blood within the ear flap and can lead to discomfort and behavioural changes in affected animals.
The clinical presentation of canine aural hematoma extends beyond physical; you can also observe changes in behaviour. Dogs experiencing aural hematoma may exhibit signs of ear pain, such as heightened sensitivity when the ear is touched, a reluctance to permit ear examinations or an overall decrease in activity levels. Commonly, affected dogs engage in persistent head shaking and scratching to alleviate the discomfort associated with the hematoma. Given the potential for complications, including chronic ear inflammation and deformities, prompt veterinary consultation is crucial. Accurate diagnosis and tailored management plans, including drainage procedures or surgical intervention, are essential for mitigating discomfort, preventing recurrence, and ensuring the overall well-being of canine patients with aural hematoma.

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With an ear hematoma, your dog’s ear flap will be swollen.

If the lesion is confined to just one part of the pinna, the swelling may be small. For larger hematomas, the whole ear flap will be engorged, and the weight of the collection of blood may cause the ear flap to droop and hang lower than usual.

An ear hematoma may feel squishy or taut to the touch. More than likely, your pup will object to you touching it, since the pressure can be painful.

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In almost all cases, some sort of trauma or injury is to blame — that’s what causes the blood vessels between the ear cartilage and skin to break and leak.

The most common type of ear flap trauma is from a dog repeatedly scratching their ear and shaking their head, due to an ear infection, allergic skin condition, ear mites, or a foreign body lodged in the ear canal. For that reason, your vet will take a close look inside your pet’s ears.

Aural hematomas can also develop from an accidental bump or injury to the ear flap. For example, this could happen during vigorous play, if your pup runs through bushes and their ear gets scraped by a sharp branch, or following a bite wound on the ear flap from another dog or a wild animal.

Less commonly, health conditions that cause blood clotting abnormalities can also lead to a blood pocket formation in the ear flap.

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A surgery is usually best because it can provide a permanent solution for the hematoma, and surgery has the best chance of preventing scars.

Additionally, it’s crucial to treat the underlying cause of the aural hematoma — so if your dog has an ear infection, that needs to be addressed, too.


Aural hematoma surgery involving drainage is a veterinary procedure to address the accumulation of blood within the ear flap. This condition often arises from the rupture of blood vessels, resulting in the formation of a blood-filled pocket. The surgical intervention typically involves making an incision to drain the accumulated blood and reduce the swelling within the ear flap. Veterinarians may opt for various drainage techniques, such as simple incision and drainage or the placement of a drainage tube, depending on the severity and specific characteristics of the hematoma.
Aural hematoma at home is strongly discouraged, home-based drainage attempts risk infection, inadequate drainage, and potential harm to the dog’s sensitive ear structures. Veterinary expertise ensures proper diagnosis, surgical techniques, and postoperative care, optimising the likelihood of a successful outcome.
Post-surgical care is critical in ensuring a successful outcome. Pet owners will receive detailed instructions on wound care, medication administration, and any necessary restrictions on the dog’s activity. The use of an Elizabethan collar (e-collar) may be recommended to prevent the dog from interfering with the surgical site during the recovery period.


Postoperative care of dogs following canine aural hematoma surgery is critical in ensuring a successful recovery and minimising the risk of complications. The duration for which a dog’s ear should be covered after surgery can vary based on the specific surgical technique employed and the individual patient’s response to the procedure. In general, a veterinary surgeon will provide explicit instructions regarding postoperative care, including the recommended duration for ear coverage.
Typically, after canine aural hematoma surgery, dogs may be required to wear an e-collar (Elizabethan collar) to prevent them from scratching or pawing at the surgical site, which could compromise the healing process. Additionally, a bandage or protective covering may be applied over the affected ear to safeguard it and to provide support during the initial stages of recovery. We advise pet owners to keep the ear covered for a specified period, often ranging from one to two weeks, but this can vary based on the case’s specifics. Regular follow-up appointments will allow for a thorough assessment of the healing progress.

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