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Study results suggest the most common initial treatment provided for aural hematomas is needle drainage with or without local steroids (59%). Following a second treatment, 83% of veterinarians predicted a 0% to 25% chance of recurrence. Recurrent hematomas were more commonly treated with surgery (67%), followed by needle drainage with (16%) or without (7%) steroids, Penrose drain placement (7%), and other (3%). Sixty-five percent of veterinarians predicted a 0% to 25% chance of recurrence however, only 51% of veterinarians who used needle drainage and steroids expected an outcome equally as favorable as compared with the 96% who chose surgery as a first-line treatment. The clinicians’ perceived success of initial treatment was good to excellent with surgery (91%) as compared with needle drainage with (59%) and without (38%) steroids. To complicate matters, aural hematoma seems, in dogs, not to be a true hematoma but rather a serosanguinous effusion that develops over time 7. The most common rationale for treatment type provided was history of previous success (77%) less frequent reasons cited were owner preference (6%), cost (5%), practice policy (4%), convenience (4%), and other (4%). Surgical techniques included linear incision with sutures (35%), sutures with stents (24%), S-shaped incision and sutures (23%), or other punch biopsy or stent approaches (18%). Initial treatments included needle drainage with (43%) and without (16%) local deposition of corticosteroids, surgery (29%), Penrose drain placement (4%), or other (8%). This survey investigated opinions regarding aural hematoma treatment techniques and success.