Aural haematomas

RE: Aural haematomas

Julian Earl — Fri, 18 Oct 2019 20:27:54 GMT

Yes we did: the use of buttons was the standard method! Injectable Depomedrone after drainage came to surface many years later. And far less effective as I recall!

RE: Aural haematomas

Gillian Mostyn — Fri, 11 Oct 2019 18:12:43 GMT

[quote user="Sarah Keir"]Did anyone get taught anything about pinnal haematomas at vet school? Day one competancies and all that![/quote]

Yes, they were well covered in clinical lectures.

RE: Aural haematomas

Julian Earl — Fri, 11 Oct 2019 17:11:41 GMT

[quote user="Sarah Keir"]d anyone get taught anything about pinnal haematomas at vet school? Day one competancies and all that![/quote]

Yes we were. incising/draining and buttons if I recall properly! It was a few years ago I'm afraid so I might be misremembering the details! Iam sure that buttons were the thing to use though.

RE: Aural haematomas

Melanie Illingworth — Fri, 04 Oct 2019 20:48:30 GMT

Has anyone else seen an aural haematoma burst?

One Saturday afternoon surgery at a branch, I was presented with a dog with a large aural haemtoma. I was still able to access the ear canal with an otoscope but in the brief moment I took to turn around and “dock” the scope, the dog shook her head and proceeded to burst the haematoma! Result:a consulting room, vet and 2 owners covered with a tide of sanguinous discharge and a brief window of opportunity to apply a head bandage to control the splatter and clean up before the next appointment! Fortunately the owners were fairly nonplussed as they told me one was a mental health nurse and the other an abbatoir worker.

Since then I’ve always had a healthy respect for aural haematomas (or should that be haematomata) but have yet to see another such explosive moment (apart from a digital rectal exam to check a “constipated“ dog that actually had diarrhoea behind the anal obstruction; but that‘s another story!

RE: Aural haematomas

Sarah Keir — Fri, 04 Oct 2019 09:18:57 GMT

Did anyone get taught anything about pinnal haematomas at vet school? Day one competancies and all that!

RE: Aural haematomas

Lucy Fleming — Fri, 04 Oct 2019 00:19:28 GMT

[quote user="Julian Earl"]Even small ones are tender and involve a lot of pressure[/quote]

Are they though? Most cases that I've seen, there's no reaction from the dog to having the ear handled, including putting pressure on the haematoma. I'd have thought if they were tender they'd show it. I do agree that the weight is probably irritating though.

RE: Aural haematomas

Julian Earl — Thu, 03 Oct 2019 20:19:41 GMT

That was the Buster haematoma pad I think. Very effective and seemingly comfortable. I do think that all haematomas should be drained. Even small ones are tender and involve a lot of pressure. They shake their head a lot, maybe due to underlying otitis but I think that even when that is treated, a large haematoma is a fair weight swinging on the side of the dog's head and probably very uncomfortable. I was never impressed by the drainage and Depomedrone injection afterwards. All the DM does as far as I can tell is reduce the fibrosis, wound the contracture and therefore the cauliflower-ear effect. At best! I had a Labrador with a haematoma, 7cm x 4cm and under 1cm deep that I left and it disappeared after 6 weeks. Bigger ones just take longer but always clear up eventually.

RE: Aural haematomas

jane alexander — Thu, 03 Oct 2019 19:00:18 GMT

Buster haematoma pad, I still use this for the large haematomas that will cause vertical canal stenosis , if left.

RE: Aural haematomas

bob lehner — Sun, 22 Sep 2019 21:16:03 GMT

[quote user="Evelyn Barbour-Hill"]

A cauliflower ear is a thing of pride to some Staffordshire Bull Terrier owners.

[/quote]

And they like it even more if the dog has one too....

RE: Aural haematomas

Evelyn Barbour-Hill — Sat, 21 Sep 2019 22:13:36 GMT

A cauliflower ear is a thing of pride to some Staffordshire Bull Terrier owners.

RE: Aural haematomas

Gillian Mostyn — Sat, 21 Sep 2019 19:02:17 GMT

[quote user="Anthony Todd"]Of course, and I don't think intervening in any small haematoma has been even suggested.[/quote]

It was approx 3x5cm or 2/3 of a staffies ear.

RE: Aural haematomas

Anthony Todd — Sat, 21 Sep 2019 08:20:37 GMT

[quote user="Gillian Mostyn"]

Its fine. I just get the stage where discussing something to find out who is right where there are multiple 'right' answers becomes pointless.

I saw an aural haematoma this morning. Diagnosed 4 weeks ago. Resolving nicely with no treatment whatsoever. Doesn't make the method right - just an option.

[/quote]

Of course, and I don't think intervening in any small haematoma has been even suggested.

Many/most small ones resolve without anything.

PS Previously the condition was discussed and I now remember a photo I posted of a medical plastic foam backed sheet that could be moulded to the pinna and might be easier to suture through and lighter than the hard plastic and have a cushion too.

RE: Aural haematomas

Gillian Mostyn — Fri, 20 Sep 2019 16:58:40 GMT

[quote user="Judith Joyce"]I'm really sorry, I couldn't resist hitting the disagree button![/quote]

Its fine. I just get the stage where discussing something to find out who is right where there are multiple 'right' answers becomes pointless.

I saw an aural haematoma this morning. Diagnosed 4 weeks ago. Resolving nicely with no treatment whatsoever. Doesn't make the method right - just an option.

RE: Aural haematomas

Julie Innes — Fri, 20 Sep 2019 16:51:52 GMT

[quote user="Judith Joyce"]I'm really sorry, I couldn't resist hitting the disagree button![/quote]

REminds me of Monty Python- "I've come for an argument" . "No you haven't!"

RE: Aural haematomas

Judith Joyce — Fri, 20 Sep 2019 16:47:21 GMT

I'm really sorry, I couldn't resist hitting the disagree button!

RE: Aural haematomas

Gillian Mostyn — Fri, 20 Sep 2019 16:41:49 GMT

RE: Aural haematomas

Anthony Todd — Fri, 20 Sep 2019 16:30:06 GMT

[quote user="Clive Ansell"]

Maybe we should just call them spontaneous idiopathic haematomas, or haematomas of unknown aetiology?

[/quote]

[still staring at my haematoma, where I bashed my foot...going darker]

Aural haematoma in flop eared dogs is easy to call traumatic; cats a bit more of a stretch except mainly irritation from ear mites [soon to be extinct because of pan-body drop on insecticides??].

Centrifugal?

Surely the "immune mediation" is at a cellular level and, if so, why just and always the pinna?

Unless I imagined bashing my foot and I've got it too??

RE: Aural haematomas

Evelyn Barbour-Hill — Fri, 20 Sep 2019 16:10:07 GMT

[quote user="Clive Ansell"]

Maybe we should just call them spontaneous idiopathic haematomas, or haematomas of unknown aetiology?

[/quote]

They are still aural Or pinnal .

And of course not haematomas but haematomata.

RE: Aural haematomas

Clive Ansell — Fri, 20 Sep 2019 15:27:01 GMT

Maybe we should just call them spontaneous idiopathic haematomas, or haematomas of unknown aetiology?

RE: Aural haematomas

Anthony Todd — Fri, 20 Sep 2019 14:38:29 GMT

Any other sites or manifestations of "auto immune disease"?

It seems odd to me that the only mention [I think] on here ever is in "aural haematoma" which is a sort of non-specific area?

Yet there's long lists on medical sites, but no mention of anything that sounds like a bruise or haemorrhage?

Where is the logic pathology or evidence to cement the diagnosis?

Says he studying a big bruise haematoma on my foot where I hit the bed leg......

RE: Aural haematomas

Judith Joyce — Fri, 20 Sep 2019 13:12:26 GMT

I'll let you judge on the quality of the science in the paper generally, but I think you can rely on the immunological methods as the et al. in the Joyce et al. paper was at the time Dr Michael Day of Bristol.

I will see if I can find the papers - it was a long time ago.

RE: Aural haematomas

Anthony Todd — Fri, 20 Sep 2019 09:41:38 GMT

[quote user="Julie Innes"]does the dog not shake the ear lots [/quote]

Not that I've seen. I suppose it is that the whole pinna is sort of immobilised rather than a heavy haematoma usually [always?] at the distal end of the pinna giving a sort of centrifugal effect??

Failing Xray film as a splint had a vogue so I hope some try the plastic one.

RE: Aural haematomas

Julie Innes — Fri, 20 Sep 2019 08:42:39 GMT

With the pinnal splint (Anthony and others who have tried it)- does the dog not shake the ear lots due to the weight of it? I have found even with a sticky plaster on an ear they shake madly to try to get it off, which is often counterproductive! Is this not an issue with ear splints?

RE: Aural haematomas

Anthony Todd — Thu, 19 Sep 2019 23:48:08 GMT

[quote user="Michael Woodhouse"]If anyone claims a 100% cure then I simply don't believe them. Shot yourself in the food there.[/quote]

I wish others had tried it, apart from one sheep... but I really don't remember a failure, whereas I've seen an awful lot of cats [always cats??] with crumpled and chronic "waxy" ears.

Please, someone, give it a go; it isn't difficult, you may be surprised.

RE: Aural haematomas

Michael Woodhouse — Thu, 19 Sep 2019 22:55:09 GMT

[quote user="Anthony Todd"]But if a method of treatment giives 100% "cure"[/quote]

If anyone claims a 100% cure then I simply don't believe them. Shot yourself in the food there.