Does my dog's ear hematoma truly require surgery for treatment?

This is a very difficult condition to treat. Othematomas can occur when the dog scratches his hear a lot or shakes the head a lot (often because of a mite infection or other ear infection) or other trauma...There are several ways of treating othematoma. One is to remove the blood via syringe and to instill a corticosteroid, It is likely to fill again and will often need a second or third time emptying, Another way is to empty the hematoma and sew in a little catheter and attach a bag to collect blood and serous discharge,and hope the blood vessel stops bleeding. The third method is to fix the problem with surgery. Often the dog;s ear will cripple some, but this will not impair its function.

These can be so frustrating for pet parents and veterinarians alike. Eventually it will resolve and scar down on its own leaving the ear looking more crumpled than the other one. The only problem with this is that sometimes this can take weeks and the ear is sometimes uncomfortable. If you monitor just make sure the ear is not bothering her and you can talk to your family vet about having some pain meds on hand to use as needed. Did your family vet try placing an indwelling drain that can be drained at home until it scars down? A veterinary dermatologist is likely to be able to provide the best technique for this as they deal with these a lot. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

I would recommend to treat it medically with a long course of prednisolone, i personally have excellent results with this protocol. it is also very important to treat the ear infection that is making your dog scratch and shake his head, without treating it it will keep coming back.

I'm so sorry that Julia has this problem (and she is adorable BTW). Aural hematomas typically never resolve completely on their own. If left untreated (i.e. undrained) eventually the blood that's trapped between the skin and the cartilage of the ear will be reabsorbed, assuming the ear infection (which is causing the head shaking and thus the hematoma) is properly treated. However, typically this leaves a scarred ear, something called a cauliflower ear, and this can be avoided with proper treatment. First, make sure that the medication that has been prescribed is going to appropriately treat the ear infection. That means a vet needs to do a cytology (microscopic evaluation) of the debris inside the ear. Most ear infections are fungal in nature, and need antifungal treatments to completely resolve. Then talk to the vet about draining the blood inside the ear. This may resolve the problem completely, but be prepared that Julia may need surgery to reattach the cartilage to the skin and resolve the hematoma for good.

Thanks for using Petco Pet Education Center, formerly Petcoach! There are a variety of ways to treat an ear hematoma in dogs (oral medications, draining it and instilling a medication, or a surgical "tacking", as well as determining what the underlying cause for the hematoma is). They do need to be treated by a veterinarian, as they do not typically resolve on their own, and can become very painful/infected. After treatment, the ear may be the same, or it may have a "crinkled" appearance. I would recommend your dog be evaluated by a veterinarian to determine what treatment plan would be best. Good luck!

Hello, I am sorry to hear about Sprocket. Hematomas form secondary to trauma to the blood vessels in the ear - sometimes due to head shaking secondary to ear infections, or rough play. Hematomas are quite uncomfortable due to the swelling present and if untreated can progress. If this is the first time Sprocket has had a hematoma, your veterinarian may be able to treat it more basically, without a full surgical procedure. They may be able to drain the hematoma under sedation. I would recommend having Sprocket seen by your veterinarian so that they can examine the ear and discuss possible treatment options. Hope this helps, good luck!

Ear hematoma occurs due to an ear infection, your dog is probably quite prone to this type of infection. when such an infection occurs some dogs shake their head violently which causes the ear hematoma. There is a medical treatment for ear hematoma (steroids for 1 months), in my experience it is as successful as the surgery.