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Aural Hematoma in Cat: When is Surgery Needed

If you've noticed that your cat's ear is swelling, you may be wondering what is going on, how to help, and if it needs veterinary treatment. Today, our Clearlake vet team talk about the causes of aural/ear hematomas in cats, symptoms, and treatment options.

What is an aural hematoma in cats?

A hematoma is a pocket of blood that develops within an organ or tissue, sometimes called a 'blood blister.' It can vary in size and location, but in the case of aural (ear) hematomas, they appear between the skin and cartilage of your cat's ear flap. They don't often occur in cats, but that makes it all the more important for pet parents to know what to look for and what to do if their cat develops an ear hematoma.

What causes ear hematomas in cats?

Usually, the cause of ear hematoma is trauma or injury. When damage occurs to the small blood vessels located in the cat's ear flap, they break and leak internally, creating a blood-filled swelling or pocket. Some common causes of cat ear hematomas include:

  • Your kitty scratching their ears or shaking their heads due to:
    • ear infection
    • ear mites
    • skin allergies
    • foreign object in ear canal
  • Scratches or bites (e.g. sharp thorns, fights with other cats)
  • Underlying health issues

Symptoms of Ear Hematoma in Cats 

If your pet has an ear hematoma, the most common sign is likely to be a new bump or swelling on the ear. If it is large enough, the ear flap itself will be swollen and possibly cause it to droop under its weight.

The swelling may feel tight or squishy to the touch, but be gentle – your cat probably will voice their discomfort if the spot is tender! Besides changes in your cat's ear's appearance, keep an eye on their behavior. If their ear is irritated or tender, they may groom the spot more than usual or shy away from being touched.

Diagnosis & Treatment of a Cat Ear Hematoma

Your veterinarian will closely examine your feline friend's ears for mites or infections. These are common causes of hematoma aside from injury to the area, especially if your pet is prone to infections. Depending on the case, your vet might use a needle to take a sample to confirm the nature of the condition.

Treatment

A simple surgical procedure is the most commonly recommended method to address the issue of ear hematomas. If the hematoma on your cat's ear is small or your pet cannot be safely put under anesthesia, it may be possible for your vet to try to drain the site with a needle. While this is a suitable procedure for some hematomas, it isn't ideal and the issue is likely to arise again. Aural hematoma surgery is a permanent solution for your pet's problem, and having hematomas surgically removed can reduce scarring.

Cat hematoma surgery cost will vary depending on your location, your vet, and how severe the hematoma is. Contact your veterinarian for more specific pricing.

Your vet will also treat the underlying issue causing the hematoma (e.g. infection, allergy).

Aural Hematoma Surgery For Cats

This procedure consists of the veterinarian making a small surgical incision in the ear flap to drain the blood pocket. After, your vet will use tiny sutures to close the pocket and stop blood or infection from building up again. To further ensure the site doesn't accumulate blood, the vet or vet surgeon will bandage the ear.

Post-Surgery Recovery

After aural hematoma surgery, cats could feel some amount of tenderness or discomfort for a few days, but your vet is sure to provide medications to address pain and prevent infection and inflammation.

Your cat will need to wear an Elizabethan collar to stop them from scratching the surgical site and causing inflammation, bleeding, pulled stitches, or infection.

You will receive instructions and helpful advice from your vet on how to administer home care for your feline friend as they are recovering from surgery at home, as well as when to return for follow-up visits and to have the stitches removed.

What happens if you leave a cat ear hematoma untreated?

If you decide not to seek veterinary attention for your cat's aural hematoma, it is possible the ear will reabsorb the blood in the pocket. However, it is more likely that the inflammation caused by the hematoma will damage the surrounding ear tissue, causing the cat's ear to become deformed and cauliflower-shaped. This deformation could eventually obstruct the ear canal.

Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. For an accurate diagnosis of your pet's condition, please make an appointment with your vet.

Does your cat have a hematoma on their ear? Contact our Clearlake team today to help your beloved pet feel better with our compassionate expert veterinary care.

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