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Evaluation of a Technique Using the Carbon Dioxide Laser for the Treatment of Aural Hematomas

From the Denver Veterinary Specialists, 3695 Kipling Street, Wheat Ridge, Colorado 80033.

A new technique using the carbon dioxide (CO₂) laser for the treatment of aural hematomas is described. The laser is used to make an incision into the hematoma to allow for evacuation of the blood, and then multiple, small incisions are made over the surface of the hematoma to stimulate adhesions between the tissue layers. The CO₂ laser was used in this fashion to treat 10 aural hematomas in eight dogs. Follow-up ranged from 1 to 23 months. Owners evaluated the cosmetic results following CO₂ laser surgery as excellent in three ears, good in five ears, and fair in two ears. Hematomas were resolved in all 10 cases, although two cases developed serosanguineous fluid accumulation that required percutaneous drainage in one case and a second laser procedure in the other case.