Understanding Aural Hematoma in Pets
- Dr Karnati

- Dec 16, 2025
- 4 min read
Updated: Jan 6
Aural hematoma occurs when blood collects between the skin and cartilage of a pet’s ear flap, usually due to trauma or excessive scratching and shaking. This causes a painful swelling that can make your pet uncomfortable and anxious. The condition is more common in dogs but can also affect cats.
The ear flap, or pinna, is delicate and filled with blood vessels. When these vessels rupture, blood pools and forms a hematoma. This swelling can vary in size and may feel soft or firm to the touch. If left untreated, the ear may become permanently deformed, leading to what is often called a "cauliflower ear."
Common Causes of Aural Hematoma
Common causes include:
Ear infections causing irritation and scratching
Allergies leading to itchy ears
Ear mites or parasites
Trauma from shaking the head or scratching
Recognizing the signs early is crucial. You might notice your pet shaking their head frequently, scratching at their ears, or showing signs of pain when you touch the ear. The ear may appear swollen, warm, and tender.

Identifying Aural Hematoma in Pets: Symptoms and Diagnosis
Spotting aural hematoma early can make treatment easier and more effective. Here are some symptoms to watch for:
Sudden swelling on one or both ear flaps
Ear feels warm and painful to touch
Your pet shakes their head or scratches their ears more than usual
Possible redness or bruising on the ear
Changes in ear shape or drooping
If you notice these signs, it’s important to consult your veterinarian promptly. They will perform a physical examination and may check for underlying causes like infections or parasites. Sometimes, they might use an otoscope to look inside the ear canal.
Diagnosis is usually straightforward, but your vet may also recommend tests such as cytology or cultures if an infection is suspected. Early diagnosis helps prevent complications and guides the best treatment approach.
How to Cure Aural Hematoma at Home?
While professional veterinary care is essential for treating aural hematoma, there are supportive steps you can take at home to ease your pet’s discomfort and prevent worsening of the condition.
Prevent Scratching and Shaking
Use an Elizabethan collar (cone) to stop your pet from scratching or shaking their head excessively. This helps prevent further injury to the ear.
Cold Compress
Applying a cold compress gently to the swollen ear can reduce inflammation and pain. Use a clean cloth wrapped around ice packs and apply for 10-15 minutes several times a day.
Keep the Ear Clean
If your pet has an ear infection or mites, follow your vet’s instructions for cleaning and medication. Keeping the ear clean reduces irritation and the risk of further trauma.
Monitor for Changes
Keep an eye on the swelling and your pet’s behaviour. If the swelling increases, or your pet seems more uncomfortable, seek veterinary care immediately.
It’s important to remember that home care is supportive and not a substitute for professional treatment. Aural hematomas often require medical intervention to heal properly.

Professional Treatment Options for Aural Hematoma
When it comes to treating aural hematoma, veterinary intervention is usually necessary. The goal is to drain the accumulated blood, relieve pain, and prevent recurrence or deformity. Here are the common treatment methods:
1. Needle Aspiration
This involves using a syringe to draw out the blood from the ear flap. It is a minimally invasive procedure but may need to be repeated several times. It is often combined with medication to treat underlying causes.
2. Surgical Drainage
Surgery is the most effective treatment for larger or recurrent hematomas. The vet makes an incision to drain the blood and places sutures to keep the skin and cartilage together while healing. This prevents fluid from re-accumulating.
3. Medical Management
Alongside drainage, your vet may prescribe antibiotics or anti-inflammatory medications if infection or inflammation is present. Treating the underlying cause, such as ear infections or allergies, is crucial to prevent recurrence.
4. Pressure Bandages
After drainage or surgery, a pressure bandage may be applied to support the ear and reduce swelling. Your vet will guide you on how to care for this bandage at home.
Each treatment plan is tailored to your pet’s specific condition and needs. Prompt veterinary care ensures the best outcome and reduces the risk of permanent ear damage.
For more detailed information on aural hematoma treatment, you can visit trusted veterinary resources online.
Preventing Aural Hematoma in Your Pet
Prevention is always better than cure. While not all cases of aural hematoma can be avoided, you can reduce the risk by:
Regular Ear Checks: Inspect your pet’s ears weekly for signs of redness, discharge, or irritation.
Prompt Treatment of Ear Infections: Address any ear infections or allergies quickly with your vet’s guidance.
Control Parasites: Use vet-recommended flea and mite preventatives.
Gentle Grooming: Avoid rough handling of your pet’s ears during grooming.
Manage Allergies: Work with your vet to identify and manage any allergies that cause itching.
By maintaining good ear health and addressing problems early, you can help your pet avoid the discomfort and complications of aural hematoma.
Caring for Your Pet After Aural Hematoma Treatment
Recovery after treatment requires patience and care. Here are some tips to support your pet’s healing:
Follow Medication Instructions: Administer all prescribed medications as directed.
Prevent Ear Trauma: Use an Elizabethan collar if recommended to stop scratching.
Keep the Area Clean: Follow your vet’s advice on cleaning and bandage care.
Monitor Healing: Watch for signs of infection or swelling and report concerns to your vet.
Provide Comfort: Offer a quiet, comfortable space for your pet to rest.
Healing times vary, but with proper care, most pets recover fully without lasting ear deformities.
Taking care of a pet with aural hematoma can feel overwhelming, but with the right knowledge and support, you can help your furry friend heal comfortably. Remember, early recognition and professional care are key to successful treatment. Your pet’s ears will thank you for the gentle attention and love you provide during their recovery.
Conclusion
In conclusion, understanding aural hematoma and its implications is vital for every pet owner. By being aware of the symptoms and treatment options, you can ensure your pet receives the best care possible. Always consult with your veterinarian for personalized advice and treatment plans.
Your furry companion deserves the best, and with your love and attention, they will heal and thrive.





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