Due to the complexity of skull base surgery, these procedures are best performed at a tertiary care facility where there is adequate ancillary services available to the neurosurgeon in the management of these patients. Both operative and post-operative care requires expertise not only in the area of neurosurgery but also in the areas of neurophysiology, neurology, neurological oncology, radiation oncology, and intensive care nursing. Phrases used to describe skull base surgery designate the approach the neurosurgeon uses and include midline, paramedian, and extreme far lateral suboccipital, presigmoid, subfrontal, and Dolenc.
That being said, if the hematoma is full, it needs to
get un-full. I am not visualizing how the ear is
bandaged. Usually when surgery has been performed,
there is either a pretty good-sized opening or a
drainage tube so that fluid does not re-accumulate.
If there is such an opening, it is common to prescribe
antibiotics until things are closed up again. Bloody
fluid is a great place for germs to grow. You are
already on antibiotics because of the unfortunate
un-bandaging accident, so stay on them. If your dog
is not receiving any type of pain medicine, I think it
would be good to ask your veterinarian about getting
some. If the ear is swollen, it's under pressure,
which means it's uncomfortable at best.
Some vets will treat aural hematomas with oral steroids (usually prednisone). The prednisone will often take down the swelling. It may take several weeks of medication for the ear to clear up. During this time period the medication helps with pain relief. In most cases the ear heals just as well as with surgery. Medical treatment works best if it is started as soon as possible. Some vets have found that if we try medical treatment on an animal that has gone untreated for a while, the ear will scar just as badly as if nothing had been done.