It occurred to me the other day I hadn’t seen an aural haematoma for some time. Saying that, I now expect three to come along in Monday-morning surgery.

I also recall a time when we immediately resorted to surgery as the primary treatment. However, lately we have drained the ear and injected dexamethasone into the space. If you do this, though, it is vital to inform the owner the ear will swell up again post-draining, but will resolve over the following week or so.

As long as we are treating any concurrent otitis externa (if present), I have found this a very effective means of treatment and very valuable in elderly patients with co-morbidities.

Greg Martinez DVM drains, injects and wraps an aural haematoma (source: YouTube).

Note: Greg uses cortisone rather than dexamethasone.

View your activity >

Leave a Reply

2 Comments on "Aural haematomas: an alternative to surgery"

Notify of

Sort by:   newest | oldest | most voted
Martin Squires
Martin Squires
1 year 6 months ago

What are you using as local anaesthesia for the procedure? It is rather painful and last two dogs I tried it out on failed to resolve and now hate coming to the surgery because they associate the visit with the previous insult!


related content

A three-step approach designed to give veterinary professionals more confidence in treating first line ear problems has been unveiled by specialist veterinary products company Animalcare.

5 mins

Vets and veterinary nurses have a new opportunity to access the latest information on improving compliance and clinical outcomes in canine otitis externa cases.

3 mins

Eva Espadale Reballi provides an overview of recent literature relating to this inflammatory and pruritic skin disease in dogs.

15 mins

A kit to help pet owners and vets correctly administer treatment for otitis externa has been launched by Dechra Veterinary Products.

3 mins

In what he claims may turn out to be his "dullest blog ever", Nick Marsh offers up what he considers to be the cardinal sins of clinical note writing.

16 mins

Zoetis has created a range of waiting room materials to help spread the word about skin allergies – and encourage clients to speak to their vet about them.

2 mins