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Arnica
Arnica
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Auralsplint
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First, identify your affliction. Swollen ear flap warm and red can be either firm or squishy. Most likely an aural hematoma.
Second, get a hypodermic needle aspiration to remove the fresh fluids before they begin to coagulate at or around the seventh day.
*Important: Do Not Lance the Ear!
Third, use an Auralsplint to encapsulate the ear and hold the tissues together to allow natural healing position. No surgery required, no general anesthetic, no added clinical costs of pharma agents. No wounding to ear, just healing. limited of no shriveling of ear flap. Auralsplint.org for details and ordering, and access to a five-year study for the effectiveness of treatment.
The Auralsplint is the only treatment available that addresses the broken blood vessels causing the actual hematoma.
Leave the Hematoma Alone
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Auralsplint
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Persuasive Essay
An aural hematoma is a blood and fluid pool formed in an animal's ear flap, or pinna, after a blunt force injury causing arterial breaks forcing tissues to expand and fill. Aural hematomas represent a condition that in not mortal, but can be a contributing factor in contraction of the pinna and subsequent future ailments for animal. Traditional treatments include expensive and painful surgeries, and weeks/months of recovery. Moreover, there is often permanent damage to the ear and a good percentage of reoccurrence of future hematomas. Surgical aural hematoma treatments for removal of blood clots range from lancing, to skin section removal, to biopsy tool removal of skin allowing for holes to provide ability to draw semi-coagulated fluids out of hematoma region. All surgical remedies impart local wounds to aural canal side of pinna, and must be further addressed during post-surgical recovery. These blood pool surgical removals of fluids, along with non-surgical hypodermic needle aspiration, are intended to allow apposition of skin and cartilage tissues. Only the hypodermic needle aspiration does not impart wounding to the pinna, with aftercare required. (1)
A novel method in the treatment of aural hematoma may address some of the concerns with current surgical procedures. The purpose of this article is to inform the veterinary industry (veterinarians, technicians, and medical device suppliers) a new tool to perform corrective aural hematoma repair. Preliminary research on a novel cross-sectional study on the impact of the pinna splinting device AuralsplintTM was conducted between June 2012 and June 2017 (unpublished results). Of the 190 participants who used the Auralsplint device, there were 49 responses to the surveys (25%). The study was conducted by the creator of the device who has no academic training, but a researcher was consulted of interpretation of the results. The participants were instructed to report on the visible ear conditions before, during and after treatment. A gradient of results ranged from: Complete healing with no visible damage, lesser healing with slight visible damage, visible healing with no hematoma present, to no visible healing hematoma present. A control group of participants outside of the criteria were involved to present the need for treatment early in affliction and a comparison of results. Criteria requirements were hematoma present less than 7 days from onset without any aspiration, or hypodermic needle aspiration alone within first 7 days and subsequent hypodermic aspirations on a four day schedule thereafter. Participants willfully requested acceptance into study after they searched online for an alternative to options available. Results suggest that the Auralsplint device promotes healing for the modality with a promising future as a viable alternative to surgeries for the aural hematoma affliction. Given the potential for biases of the author, results should be interpreted with caution. Potential implications of the AuralsplintTM, with no disregard or disrespect intended to existing veterinary surgeries and procedures, the author attempts to provide surgery-free alternatives to the treatment of aural hematoma through a novel therapeutic device. In no way is the Auralsplint recommended to take the place of a professional veterinarian. Instead, canine owner with their animals depending are encouraged to talk with their veterinarians about multiple options to assist in making decisions about best practices. (2,3)
In any treatment modality we must look to the healing properties of the animal and how these properties are used. The understanding: The broken blood vessels causing expansion of the tissues in the pinna are subsequent to a blunt force injury causing the broken blood vessels. Any underlying conditions which may lead to irritation and discomfort causing shaking of the head or scratching of the ear most likely (but not always) have caused the aural hematoma, and are treatable outside of any reparative treatment for the aural hematoma tissue damages. Without any treatment to repair the torn tissues of an aural hematoma, the bulbous fluid filled into the hematoma will resolve and diminish over time. Serum fluids likely will be rapidly reabsorbed, whereas hemoglobin fluids will clot. Either way, the animal's own regenerative abilities are observed as in progress. Given this generalization and the fact the aural hematoma has not ruptured due to over expansion, at some point the animal's own abilities have sealed the broken vessels. Leaving us to examine the clot formation in the aural hematoma, rapid coagulation occurs upon ceasing of new fluids entering into the hematoma region. Granulation begins occurring in 3-6 days. This granulation process must be the precursor to the adhesion of tissues to the clot, respective both the outer skin and the inner cartilage. The interior of the clot at this point is not understood as to its purpose other than subsequent to volume of fluid generation during open vessels filling at time of active hematoma. Speculation of the migration from interior of clot to exterior of clot for granulation and other regenerative elements exists as reduction occurs, and spent red blood cells are removed and reabsorbed. It is this author's belief the reduction of the bulbous clot by reabsorbing, along with granulation occurring at all points exterior of clot, is the greatest contributing factor to contraction of the pinna, as the bulb is reduced from the furthest point from center towards the center, thus the attached tissues are drawn toward center. By establishing the animal is using the blood pool to provide healing and regenerative elements, we must attribute the blood pool, or clot, is essential in providing the tissue elements for permanent reattachment of the skin to cartilage. Even after healing of an untreated aural hematoma, the skin and cartilage are opposed, due to the reduction of the clot leaving the space between the tissues reduced from that of full bulbous clot. The contraction due to reduction has been addressed. However, at some point a blood clot is needed between the skin and cartilage to provide the elements for granulation to occur, and thus adhesion of said skin and cartilage tissues against clot, and subsequently skin to cartilage once absorbable spent red blood cells are removed. By this premise, the amount of contraction is proportionate relative to the thickness diameter of the pooled blood clot, therefore the thinner the clot, the less the contraction. By this same premise, the greater amount of surface area adhesion, the greater the attraction. Complete granulation of all area within the hematoma region would need to be considered the most effective for adhesion of tissues. Any allowance for deviation and sporadic development of granulation would contingently provide less adhesion and potential for less permanent reattachment. The amount of blood clot needed to perform sufficient granulation is left for further studies. But, without a blood clot directly opposed to both sides the skin and cartilage predicts less abilities to heal with same efficiency as areas with adequate blood clot. Therefore, a sporadic area of blood clotting, determined by thickness and location, is less supportive to animal's own ability to regenerate than that of a blood clot continuous in size and complete in total area of damaged pinna. The aspiration of the fluid pool is set to reduce the size of the hematoma bulb, allow for apposition of skin and cartilage tissues, thus reducing the amount of contraction during healing. Aspiration can be performed in different methods. If the fluids are still fluid, then a hypodermic needle aspiration is sufficient to remove nearly all the fluids present. If the length of time from onset is greater than 6-7 days, and coagulation in the pool has started, the removal by surgical means is required to allow apposition of the skin and cartilage tissues. (1,4,5,6,11)
It is time to look at the surgical treatments themselves and how the decision to use surgery for canine aural hematoma repair compares against the other options the clinic can offer. The clinic has to assume a patient visiting a clinic knows he or she is being offered an assortment of options, and costs to treat their animal's condition. With the cost of surgery the pinnacle of pricing, the patient must assume this choice is the greatest care. Reality shows this is the greatest abilities of the veterinary surgeon to use his or her training in an operating room environment. To assume this is the best care for the aural hematoma affliction is based on perspective. With blood pool now removed, apposition by surgical method is achieved by carefully suturing the skin to cartilage by means of choice by surgeon. Critical to success is the ability of the surgeon to oppose the tissues in such a fashion to allow granulation to occur in the areas between sutures. The small segmented sporadic blood pools subsequently clot and healing begins to occur. The amount of granulation at suture penetration locations cannot be consistent with the areas between sutures due to nature of modality. As the author has already established, the more consistent the blood clot, the better the production of granulation and adhesion after healing. To summarize, the surgical aspiration has imparted wounds to the skin of the pinna and now in need of post-operative care, the sutures are providing sporadic ability to adhere, and any clot formation is now non-consistent. (2,9,10,11)
Stated here in this interpretation, surgery shows increased chance for infection with regard for surgical procedures imparting wounds to pinna, as well as sporadic development of the essential blood clot. Suture placement is critical to keep from cessation of fluids to any point interrupted. Included in surgical modalities is the continued allowance for any blood and fluids re-entering the hematoma region to flow freely out of the region through wounds or drains specifically placed for this reason. Previously established in this interpretation is the need for the blood clot to form to produce the granulation and regenerative elements required in permanently healing the aural hematoma, complete with blood vessel sealing of breaks and adhesion of skin to cartilage. It appears less than necessary to allow the essential regenerative elements to escape the area in need of said elements. It is understood the continued flow of fluids into a surgically repaired hematoma region may introduce recurrence of expansion, and therefore contribute to alteration of the surgeon's treatment modality. Finally, pinna surgery post-operative care is substantial and must be included in the considerations for its use and results. (5,6,8)
The alternative modality presented is Pinna Splinting. Splinting of the auricle is a therapeutic treatment modality process allowing the animal's own abilities to re-grow the tissues in an environment suitable for the least amount of contraction after healing. By all indications in this interpretation, a consistent thickness blood clot throughout the entirety of the hematoma region provides the greatest chance of non-sporadic granulation and adhesion of tissues. The uniformity of the thickness of the blood clot, or more accurately presented thinner blood clot, provides lesser ability for contraction during recovery. Pinna splinting treatment occurs without wounding imparted to animal, therefore the post-operative care is lessened and the chance of infection therefore lessened. Also, for those patients unable to afford surgery or are unable due to health or general anesthesia complications, pinna splinting allows the animal owner the option for corrective clinical treatment, and for the clinic the additional income. (4,9,11)
Pinna splinting is achieved by locating the pinna in a fixed position where, after aspiration by hypodermic needle, a rigid device is attached by medical dressings to the pinna, presenting a wall against the damaged tissues, preventing the uncontrolled expansion of fluids into the hematoma. Once the small area of hematoma refills into a thin layer and equalization of fluid pressures is achieved, rapid coagulation and granulation begins to occur, without interruption or sporadic locations, but instead throughout the entirety of the hematoma. As per the previous evidence established, the animal now can function as though the hematoma has been left untreated, and can begin to and fully regenerate the needed tissues to seal the broken blood vessels and form the permanent attachment tissues between skin and cartilage at all points directly adjacent to blood clot layer. Once absorption of the spent red blood cells in clot layer occurs, the distance between skin and cartilage tissues being of a small size, the reduction and contraction is limited, relative to thickness of clot layer. The treatment duration for splint device in place has been established as 14 days consecutive. (11)
It would be difficult to describe the need for a new modality in a clinical environment without addressing the costs associated. A Veterinary Clinic needs revenue to not only survive but to thrive. The licensed veterinarian needs to charge appropriately for his or her services to generate revenue to employ the manpower to sustain the business model. By this standard, the amount of revenue per treatment generated is based upon the need of the clinic's business model. The larger the revenue generation per treatment equals the better the outcome for the business. This support for the business model can be altered by the number of patients treated against the number of patients not treated (due to lack of financial means). To sum this relationship, the more patients treated for less revenue equals the lesser amount of patients treated with higher revenue. (2,3)
The author, Daniel Whitton, is President of Auralsplint Inc. PBC, an aural hematoma researcher, inventor, and advocate for better animal healthcare through improvements in current modalities. The AuralsplintTM treatment is proprietary through US Patent 7,153,313 awarded to Daniel Whitton 2006. Subsequent patent protection is at present in place for further intellectual property and proprietary rights. The Auralsplint, through voluntary Pre-Market Approval, has been concluded by the FDA “the animal medical class 1 device is safe as prescribed for use under supervision of licensed veterinarians”. Without establishing a concrete analysis by dissection of both modalities in post mortal studies, the author is left to make interpretations of scientific expectations. However, having a tool to bridge the gap in treatment modalities could and should be used to satisfy the needs of the clients. The AuralsplintTM introduces a non-invasive, cost-effective, pain-free clinical device providing an alternative solution to surgery. Although study results are preliminary and non-casual, there is support for future clinical trials with this device as part of a whole purposed industry treatment. (6,11)
Author: Daniel Whitton
Auralsplint Inc. PBC
Editor:
Krista Best, PhD
Professeure adjointe/ Assistant professor
Faculté de médecine / Faculty of Medicine
Université Laval
Sources Cited:
1. MacPhail C. Current Treatment Options for Auricular Hematomas. Vet Clin Small Anim. 2016; 46: 635–641
2. AVMA.org; 2018-econ-rpt3-veterinary-services.pdf
3. Hall J, Weir S and Ladlow J. Treatment of canine aural haematoma by UK veterinarians. Journal of Small Animal Practice. 2016; 57: 360–364.
4. Asinga T. Treating aural hematomas. Banfield. https://www.banfield.com/getmedia/98fe2955-5945-4d4f-8007-4e74fed9bb28/2_5-Treating-aural-hematomas. Accessed on February 20,2020.
5. Pavletic MM. Use of laterally placed vacuum drains for management of aural hematomas in five dogs. J Am Vet Med Assoc. 2014; 246:112–117.
6. Lanz OI, Wood BC. Surgery of the ear and pinna. Vet Clin Small Anim. 2004;34: 567–599
7. Hedlund C. Incisional Drainage of Aural Hematomas. Complications in Small Animal Surgery, First Edition. Edited by Dominique Griffon and Annick Hamaide. Published 2016 by John Wiley & Sons, Inc.
8. Aural Hematoma. American College of Veterinary Surgeons. https://www.acvs.org/small-animal/aural-hematoma
9. Hall J, Weir S and Ladlow J. Treatment of canine aural haematoma by UK veterinarians. Journal of Small Animal Practice. 2016; 57: 360–364.
10. Lahiani J, Niebauer GW. On the nature of canine aural haematoma and its treatment with continuous vacuum drainage. Journal of Small Animal Practice. 2020; 61(3):195-201.
11. AuralsplintTM – Descriptive Report, author: Daniel Whitton; Researchgate.com DOI:
Aural Hematoma Remedies
EC: Please check the aural hematoma page in our pets section here: https://earthclinic.com/pets/aural-hematoma-natural-remedies/
Auralsplint
★★★★★
Auralsplint
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Leave the Hematoma Alone
Let It Heal on Its Own
Arnica
Arnica
Let It Heal on Its Own
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Let It Heal on Its Own
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Arnica
Arnica
Leave the Hematoma Alone
Arnica
Arnica
Arnica
Arnica
Arnica
We are applying Arnica oil and turmeric, on the swelling. The size is remaining the same and has not broken.
As for Lachesis, we are yet to receive the drops. Shall give her as per your advice.
We are also giving her aloe vera oil and turmeric in food. We are also cleaning her ears frequently. Am hoping that it does not increase in size and slowly disappears.
Thank you very much for your timely response.
Arnica
If this were my dog I might dose every 2 hours and monitor results to check for progress. I would stop over night, and then perhaps go to your original dosing schedule. You might also consider Arnica Montana for this condition as it typically arises due to trauma. And because this tends to arise from ear conditions inside the ear that causes the dog to scratch and shake the ear, you might look at cleaning the ears very well and frequently and adjusting diet to grain free.
Arnica
Can I administer 6C drops of Lachesis at 4 drops in the morning, afternoon and evenings?
Also, would application of Arnica oil on the skin where the swelling is seen, be of help to reduce it? She is old and severely arthritic and takes many joint supplements and Aloe Vera juice and Turmeric chews for the same. We would not like to have her go through another surgery.
Please advice on the Lachesis dosage for 6C.
We are from Hosur, in India.
Aural Hematoma Surgery
Castor Oil, Turmeric
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Arnica
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Aural Hematoma Surgery
To help Heidi please google 'shih tzu rescue san antonio tx' and you will find plenty of resources.
Aural Hematoma Surgery
I took in a 12 year old shih Tzu because this kind hearted old lady couldn't find her a home and she was homeless. We feel in love with Heidi and felt so bad she was being abandoned by her owners. Now, I see how hard it really is to take care of an elderly dog. If I had the funds to care for her properly I wouldn't have a problem. I am scared the vet might take her from me or put her down because I don't have to money right now. Heidi has a hematoma in her ear and I need to take her to the vet as soon as possible. Please help any way you can. If you know of any foundation's that could help, we'd really appreciate it.
Herbal Cure
Herbal Cure
Arnica
Sulphur 30x
★★★★★
Arnica
Kenalog Injection
Kenalog Injection
I just made a vet appointment since we have been through this before with my little guy. All vets want to lance and drain and stitch and make a mess. I found a vet on our first experience with this little problem, that treated with an injection of Kenalog. I work for a Retina (Eye) specialist and we use this drug to treat bleeds in eyes. It works like a charm as long as you don't fuss with the ear as it's healing. (I pressed on his little ear the first time and you could feel the blood rushing back in :/) Needless to say it dried up without a return visit. He hasn't had one in 3 years and I think this is now the opposite ear. We now live in another state and finding a vet to do this procedure took a couple of phone calls but I found one!
Average cost of injection is about $30 plus vet visit $50ish, so much better than $350 base for a messy surgery! The best results come from early treatment, the longer the blood sits the thicker it gets and is harder to remove. Good luck with your best friends, hope this helped someone <3
Arnica
When I use arnica oil, I usually apply it a couple of times a day, generously but not soaking the area.
~Mama to Many~
Arnica
Arnica
★☆☆☆☆
Arnica
Did you try the Arnica oil on your dog. Where did you purchase the oil in Ontario? All of these products that are so readily available in the States sometimes aren't so much in Canada. I am trying to find it for my Boston Terrier. I would love to know if I can treat this without surgery.
Thank you!!
Arnica
Untreated itchy ears can lead to reoccurring aural hematoma. If you can stop the itch, then the scratching will stop - so to that end you might consider a few things.
You are interested in the arnica oil - I would use the oil or any salve or cream by directly applying to the ear leather - do this 3-4 times per day.
For immediate relief: Zymox Otic hcl - buy it online, for treating ears. It works on bacteria and yeast [has enzymatic digesters] and you don't need to clean the ears to use it. Use at first sign of an itch, or if the ears seem gunky or have redness. This is one product that is well worth the purchase price.
For the long term approach: consider a rotation of treated water - baking soda for alkalizing and borax per Ted's borax protocol for dogs. The alkalizing and borax will help balance the body's PH and make it unfavorable to yeast -so fight a systemic yeast infection from the inside out.
Read your dog food label and change up the groceries to grain free. Even if you are already feeding grain free, try switching to a different protien base and monitor your results. **This is key, as grain based diets have been linked to systemic yeast infections, skin issues and ear problems.
Please report back!
Arnica
Arnica
Arnica
Arnica
Let It Heal on Its Own
I used Arnica oil from India and needed Lachesis (for internal injury) to reduce the swelling which took 7 weeks in total and was well worth the wait. Thank you very much for your helpful comment. Those who comment and say they need to see trials are ill informed and are not interested in solutions and do not care that the dog will suffer painful surgery. My dog went through hell when she had her other hematoma drained through surgery. My dog also broke teeth whilst she was under the care of the so called vet. I am glad I followed my intuition this time. I know homeopathy works and do not need to see trials.
I cured my dog of aural hematoma with homeopathy. I am very proud of that.
Arnica
★★★★★
Arnica
I am not aware of any concerns with using arnica for cats, unless the arnica preparation you have has essential oils in it. Essential oils are usually considered too strong for cats.
~Mama to Many~
Arnica
Arnica
Arnica
EC: On the ear flap!
Arnica
Arnica
Arnica
Let It Heal on Its Own
Leave the Hematoma Alone
Arnica
Arnica
Arnica
Arnica
Please google 'aural hematoma dogs' and do an image search to make sure what you are seeing in your puppy and her entire litter are aural hematomas and report back.
THANK YOU!
Arnica
Arnica
Arnica
Arnica
Arnica
Arnica
Arnica
★★★★★
A couple weeks ago, one of my goldens got a hematoma on his left ear flap. I checked the internet and found Dr. Paws on YouTube. He made sense to me. I agreed with him. To put a dog through the surgery and recovery is terrible. Then I found a site where a comment mentioned success using Arnica oil. I figured I would try it. I bought a bottle online at Swanson's. I applied some to my golden's ear flap with some skepticism.
Three days later I noticed that the hematoma had shrunk. Really. Now a week later, the ear flap is almost flat with no cauliflowering. The flap is almost normal. It certainly seems that the Arnica oil worked. I will definitely use it again if needed.
We've spent almost $1000 on my poor little Wally this summer, two stints....didn't work, and a major surgery. After he had the stitches out, within three days the hematoma is back as large as it ever was.
I just can't bear for him to suffer through another surgery and am activating the remedies here for a week. I will post the results.
Wish me luck, he is the love of my heart....
Leave the Hematoma Alone
Aural Hematoma Surgery
I am sorry to hear about the hematoma returning but it sounds to me like your vet took out the stitches too soon.
This is what happened to my dog in 2014, except my vet used a drainage cap instead of stitches. She initially took it out after 2 weeks and his poor ear filled back up with blood within 24 hours. She had to put the drainage cap back in for another 3 weeks after that. She charged less for the procedure the 2nd time and didn't put him under anesthesia, thankfully. It was a simple insertion of a little plastic cap near the tip of his ear. You can read my thread on this site's hematoma page about what happened to our dog.
If it's a large hematoma, you will have to do the procedure again, I think. But you need to wait until enough scar tissue has formed in his ear and that takes about 21 days! (Sorry for the bad news). Expect a thick, cauliflower ear and extreme sensitivity to heat and itchiness once your dog has healed. The good news is that my dog hasn't had any more hematomas, but I have to stay very vigilant about cleaning his ears at least twice a week.
