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Have you been treating the ear infection that led to the ear hematoma ?
Normally to get resolution of an ear hematoma there are 2 options. Surgery is one way to treat but we can also get Pearl on steroids for a month or so and allow the ear to scar in instead of surgery. it is not a quick fix but will be less expensive then surgery.
I would also recommend having your veterinarian do an ear cytology to find out what kind of infection we are fighting so we can address this to help reduce the itching and inflammation that has caused the ear hematoma.
While treating with steroids I recommend my clients purchase what is called a no flap ear wrap that you can place on her (much better than a e-collar or the plastic cone snd also this is washable.
Part of treating the ear hematoma is also addressing the ear infection.
If this ear has been a recurrent problem that keeps getting infected I would discuss with your veterinarian allergies as this is a huge cause of recurrent ear infections in dogs : both food allergies and environmental. There is a medical called apoquel to help reduce the allergic response that we can try in Pearl, but first we have to get the ear infection and hematoma resolved.
Why is an Aural Hematoma a Problem?
A small hematoma may not actually be a problem and may not require repair. There are several situations where the hematoma should be repaired.
Usually there is a reason why a dog has been shaking his head: an ear infection. This means that the ear infection must be treated along with the hematoma. The ear will need cleaning, microscopic examination of the discharge, and medication. Sometimes ear shaking just happens and there is no underlying infection, but be prepared for the expense and trouble of treating an ear infection along with that of the hematoma.
What if we Leave it Alone and just use medications ?
If left alone, an ear hematoma will resolve by itself. The fluid will be re-absorbed back into the body and the earflap will no longer bulge. The problem is that a lot of scarring is associated with this process and the ear is often not cosmetically appealing afterwards (i.e. it becomes a “cauliflower” ear). Resolution of a large hematoma can take several months during which it may be uncomfortable for the pet. If the patient is a poor anesthetic risk, or if the owner cannot afford surgery, it is certainly reasonable to forgo surgery.
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Dr. Meghan Denney
Try the steroids this time and re treat the ear infection. Will be much cheaper. Then I would address the possibility that she may have allergies as an underlying cause.
Order the no flap ear wrap and see if your veterinarian will start her on prednisone for month and see if we can allow her ear to scar in. The ear will not look the same and may be crumpled but it will help you avoid another surgery. This is what I do for refractory ear hematoma cases.