ISSN 2398-2942      

Ear: aural hematoma drainage

icanis
Contributor(s):

Charlie Walker

Synonym(s): Auricular hematoma drainage/obliteration; Aural hematoma obliteration


Introduction

  • Surgical methods of treating an aural hematoma Ear: aural hematoma Ear: hematoma 01 :
    • Prolonged drainage using an indwelling drain and pressure bandaging.
    • Surgical incision and obliteration of the hematoma cavity.

Uses

Advantages

Indwelling drain

  • Improved success rate, compared to simple needle drainage.
  • Possible to perform in conscious dogs, under local anesthesia.
Surgical obliteration
  • Best success rate.
  • Surgical scarring means less risk of recurrence.

Disadvantages

Indwelling drain
  • Increased cost if sedation and repeat bandaging required.
  • Indwelling drain must remain in position for up to 3-4 weeks.
Surgical obliteration
  • General anesthesia required therefore increasing costs, and potential risk, to patient.
  • Cosmetic result may be poor owing to deformity from scar formation.
  • Head bandaging required for 5-10 days and an Elizabethan collar thereafter.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good when correct choice of treatment for size/duration of hematoma.
  • Best long term response when primary cause treated successfully.
  • Cosmetic results vary according to size of hematoma and degree of scarring.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Joyce J A (1994) Treatment of canine aural haematoma using indwelling drain and corticosteroids. JSAP 35 (7), 341-344 VetMedResource.
  • Romatowski J (1994) Non-surgical treatment of aural hematomas. JAVMA 204 (9), 1318 PubMed.
  • Kuwahara J (1986) Canine and feline aural hematoma - clinical, experimental, and clinicopathologic observations. Am J Vet Res 47 (10), 2300-2308 PubMed.
  • Weber H O (1979) A technique for surgical treatment of aural hematoma in dogs and cats. Vet Med Small Anim Clin 74 (9), 1271 PubMed.

Other sources of information

  • Joyce J A (2008)Risk factors for canine aural haematoma - a controlled study.Free communication WCVD 2008.

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