Once surgically drained a bandage can be used to protect the ear from contamination and self trauma after repair. The most commonly used procedure involves cutting the tissue overlying the haematoma, removing the blood clots and fibrin, and holding the ear cartilage in apposition with sutures until scar tissue is formed. Haematoma must be treated soon after it occurs to prevent enlargement or fibrosis. There are many techniques that have been used surgically to treat haematoma of the ear. Surgery is the preferred means of treatment with the goal being to remove the haematoma, prevent recurrence and minimise any thickening and scarring of the ear flap. However, recurrence is common with this method of treatment. Some cases can be treated medically by attempting to drain the haematoma through a hypodermic needle, and once drained injecting the ear flap with corticosteroids. It gradually becomes firm and thickened due to fibrosis, and eventually develops a cauliflower appearance.įirstly, any underlying ear infections should be treated appropriately. Haematoma initially appears as a soft fluid filled swelling of the inside of the ear flap. Some cases of aural haematoma formation may occur without the presence of a concurrent ear infection, and may actually be associated with increased capillary fragility. The head shaking causes fracture of the cartilage in the ear flap and haematoma results from bleeding from the blood vessels within the fractured cartilage. The cause is not well understood but appears in most cases to occur as a result of head shaking or scratching at the ear resulting from soreness or irritation associated with an infection of the ear canal. It is very important you keep the scabs off so drainage can occur and the wound will heal from the inside out.Aural haematoma is the collection of blood between the cartilage and inner surface layer of the ear flap. Most ears show a greatly reduced swelling by the time of suture removal. NOTE: Your pets ear will look very THICK and SWOLLEN for the first 5 days after surgery. Once the blood clot has formed, the treatment of choice is surgical drainage. This change is irreversible and results in a withered-up appearance to the earflap. Sometimes as the clot matures and contracts, it will cause the ear to become cauliflower-like in appearance. This may result in a very thick ear that can interfere with normal ventilation of the ear canal leading to ear infections.
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