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Aural Hematoma in Cat: When is Surgery Needed

Have you discovered what appears to be a lump or blood-filled blister on your cat's ear? Today, our Gallup vets share some of the causes and symptoms of aural hematomas in cats and how it can be treated with surgery.

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 occur frequently 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.

Aural Hematomas in Cats: What Are They?

Usually, the cause of ear hematoma is trauma- or injury-related. 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 aural hematomas in cats include:

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

What Are Some of the Symptoms of Aural Hematomas in Cats?

If your pet has an aural 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.

How Are Aural Hematomas in Cats Treated?

Your Gallup veterinarian will closely examine your feline friend's ears for mites or infections. These are common causes of aural hematoma aside from injuries 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.

The Surgical Treatment of Aural Hematomas in Cats

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 aural 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.

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

What To Expect With 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.

Recovery After Aural Hematoma Surgery

Your cat could feel some amount of tenderness or discomfort for a few days following the procedure, 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.

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.

Are you concerned that your cat has developed an aural hematoma on their ear? Our experienced vets can help. Book an appointment at Cedar Animal Medical Center today.

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Cedar Animal Medical Center is accepting new patients! Our experienced vets are passionate about the health of Gallup companion animals. Get in touch today to book your pet's first appointment.

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