Othematoma – how does a bloody ear occur?

Blood in the ear, which primarily occurs in dogs with drooping ears, refers to a specific type of hematoma in the outer ear. Affected dogs display a sudden swelling and warmth in the ear. In most cases, an underlying disease is the cause of a bloody ear. It is therefore extremely important to have your dog examined by a veterinarian in order to successfully treat the underlying disease and the hematoma itself.

INHALT
Anatomy Cause and origin Symptoms Diagnosis Treatment Forecast Prophylaxis
Anatomy

The ear of a dog consists of the ear cartilage and the overlying perichondrium. The skin stretches tightly over this perichondrium and is thinner and almost hairless on the inside of the ear. On the outside of the auricle, the skin is thicker and clearly hairy. Blood is supplied via a branched network of small blood vessels on the inside of the ear.

Cause and origin

Scratching, rubbing, shaking your head vigorously, or even blunt injuries can damage the blood vessels in the area and cause bleeding between the cartilage and the skin above it. The ear swells partially or completely, which can further intensify the triggering symptoms such as shaking your head or scratching. The causes of pain and itching in the ear or head area are varied and can range from ear infections to allergic skin conditions and hormonal disorders.

The assumption that the othematoma is caused by an autoimmune disease has not yet been scientifically proven.

Symptoms

An othematoma manifests itself as a sudden, warm, and sometimes reddened or painful swelling on the dog's ear, which usually occurs on one side, but occasionally on both sides. The swelling starts on the inside of the ear and, depending on its extent and the amount of hair on the ear, can be seen or felt by the owner. Affected dogs often hold their head at an angle or scratch the affected ear more frequently.

Diagnosis

In most cases, the veterinarian can recognize an othematoma during a general examination based on the usually very clear symptoms. By puncturing the swelling and examining the tissue fluid removed, the veterinarian can further confirm the diagnosis. Further blood tests may be necessary to determine the cause.

Treatment

If diagnosed, treatment of the underlying condition should be the first priority. However, the blood ear itself is also treated in most cases due to possible pain and tension.

If the dog shows no signs of pain or discomfort from the blood ear, the bruise can be absorbed by the body on its own within three to four weeks. However, the skin and cartilage will not grow back together smoothly, as the altered blood supply causes connective tissue remodeling in the ear. As a dog owner, it is important to know that the resulting scarring and deformities can lead to a so-called "cauliflower ear," which is not always just a cosmetic issue. The scarring can also cause narrowing of the ear canal and subsequent impairments.

One possible treatment is to drain the hematoma via a puncture (removal of fluid or tissue from a body cavity by inserting a hollow needle). However, as the cavity between the cartilage and the skin does not close immediately, the ear usually fills up again quickly and the procedure must be repeated several times.

If self-healing is not expected or recommended, the ear can also be treated surgically. Under general anesthesia, the ear is opened, the blood is drained, and the wound is sutured. A firm head bandage or compression sewn to the ear ensures that the skin grows back together completely with the cartilage.

Othaematoma
Surgical treatment of the othematoma is often necessary
Forecast

Bruising in the ear can resolve on its own within three to four weeks. However, othematomas that are not treated surgically often lead to severe scarring and deformation of the ear, which can partially block the ear canal and promote recurrent ear infections.

Surgery can help reduce scarring and promote successful healing. It is particularly important that the dog is prevented from scratching its ear or shaking its head for a certain period of time after the stitches or compresses have been removed, as this can cause bleeding to recur.

Prophylaxis

Regularly checking your dog's ears is one of the most important measures you can take to prevent ear diseases. As the owner, you will be able to notice changes such as swelling, redness, or a strong odor at an early stage and take your pet to the vet in good time.

During regular check-ups or vaccination appointments, your veterinarian will use special equipment to take a closer look at your pet's ears and check the ear canal. Although these measures cannot completely rule out the risk of an atheromatous lesion, they can significantly reduce the likelihood of one developing.