Why This Vet Hates Ear Hematomas

How We Treat Them

Surgical Repair This is considered by many to be the best way to resolve anear hematoma. Surgical intervention is not always necessary, especially if the hematoma is very small, but for a large hematoma, it's the treatment of choice.

Of course, surgery has its drawbacks. Not every pet is an ideal candidate for anesthesia, and not every owner can afford surgery. And even if the procedure is successful, you still have to manage the underlying problem that caused thehematoma in the first place.

Aspiration Inserting a needle into the ear to draw out the blood is a perfectly acceptable approach, especially if the hematoma is small. The main advantage of this option is that it's less costly than surgery, and it does not require anesthesia. The downsides: Thecosmetic result isn't likely to be as good as with surgery, and in some cases, you'll need to drain the ear more than once. If this doesn't work,surgery is stilla possibility.

Conservative Management This approach is sometimes called “benign neglect.” We’ll treat the underlying problem that led to the condition but allow the earflap’s tissues to slowly reabsorb the blood. This can often take a month or more.

Considering everything that annoys me about ear hematomas, the one good thing is thatthe condition can usually be managed, especially if the underlying problem is addressed.

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