Ear Dermatitis in Cats
Written By Grace Park
Published: 11/08/2016Updated: 01/21/2022
Veterinary reviewed by Michele K.
Ear Dermatitis in Cats - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
What are Ear Dermatitis?
Ear dermatitis in cats describes the condition of itchy, inflamed structures of the ear. Ear dermatitis is the condition specifically used to describe inflammation of the external portions of the ears known as the pinna. Cats can develop this condition for a variety of reasons including infection, trauma and allergens. Ear dermatitis is noted through clinical signs of scratching, head shaking and manipulation of the ear. Left untreated, ear dermatitis can cause secondary ear trauma including inner ear damage and a condition known as cauliflower ear. Cats that scratch their ears excessively can cause the small blood vessel inside the ear to rupture, resulting in a hematoma or permanent scarring. If the inner hearing structures become damaged, the cat could lose hearing completely or partially. 
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Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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Symptoms of Ear Dermatitis in Cats
Ear dermatitis in cats present itself through clinical signs of scratching of the ears, head shaking and drooping of the pinnae (outer ear structure). This typically itchy condition can cause the blood capillaries inside the ear to rupture, causing a secondary condition known as a hematoma. The outer ear will then appear very swollen, red and cause the cat to hold her head to the affected side. In other cases which the inner or middle ear is infected, and left untreated, the sensitive structures can be damaged. Fluid buildup and ruptured ear drums can be the end result of an unattended ear condition, causing the cat to lose balance. To catch ear dermatitis in its early stages, cat owners should take note of the following symptoms: 
  • Scratching of the ears
  • Dry, scaly ears 
  • Bleeding ears 
  • Swelling 
  • Malodorous ears
  • Hair loss 
  • Pain 
  • Head shaking 
  • Blistering of the ears 
Causes of Ear Dermatitis in Cats
Ear dermatitis in cats can be caused by various irritants including parasites, infection, traumas, allergens and sometimes even disease. Specific culprits for these categories of feline ear dermatitis causes include:
Trauma 
  • Bites or scratches from cat fights
  • Chemical injury 
  • Burns 
  • Lacerations 
  • Haematomas: blood-filled mass caused by a blood vessel rupture underneath the skin of the ear. 
  • Solar Dermatitis: ear inflammation caused by sun exposure. 
  • Trapped foreign bodies
  • Tumors of the ear canal 
  • Polyps 
Infection 
  • Bacteria
  • Fungal 
  • Yeast 
Parasites 
  • Ticks 
  • Fleas 
  • Mange 
  • Otodectic mange or ear mite
  • Sarcoptic mange 
  • Notoedric mange 
Allergens
  • Mosquitoes 
  • Food 
  • Pollen 
Systemic Disease 
  • Cancer 
  • Cushing’s Disease 
  • Hypothyroidism 
Diagnosis of Ear Dermatitis in Cats
The treatment of ear dermatitis in cats lies dependent on the underlying condition causing the red, itchy ear. In most ear dermatitis conditions, the veterinarian will attend to the cat's signs with pain medications and anti-inflammatory drugs. The ear will be cleaned, with medicated drops following, if applicable. In the case of ruptured capillaries causing the secondary condition known as a hematoma, the ear may need to be surgically corrected. The accumulated fluid and/or blood will need to be drained, plus the disfigured pinna will need to be corrected. If your cat’s ear dermatitis has not resulted in secondary conditions, the veterinarian may choose to treat them with one or more of the following: 
  • Anti-parasitic medications 
  • Hormone replacement therapy drugs
  • Antihistamines 
  • Antibiotics 
  • Antifungal medication 
If the veterinarian believes your cat’s ear dermatitis is the result of an adverse reaction to an allergen, he may choose to conduct food trials or change the feline’s current medications. 
Treatment of Ear Dermatitis in Cats
The treatment of ear dermatitis in cats is dependent on the underlying condition causing the red, itchy ear.  In most ear dermatitis conditions, the veterinarian will attend to the cat’s signs with pain medications and anti-inflammatory drugs. The ear will be cleaned, with medicated drops following, if applicable. In the case of ruptured capillaries causing the secondary condition known as a hematoma, the ear may need to be surgically corrected. The accumulated fluid and/or blood will need to be drained, plus the disfigured pinna will need to be corrected. If your cat’s ear dermatitis has not resulted in secondary conditions, the veterinarian may choose to treat your feline with one or more of the following: 
  • Anti-parasitic medications 
  • Hormone replacement therapy drugs
  • Antihistamines 
  • Antibiotics 
  • Antifungal medication 
If the doctor believes your cat’s ear dermatitis is the result of an adverse reaction to an allergen, he may choose to conduct food trials or change the feline’s current medications. 
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Recovery of Ear Dermatitis in Cats
The overall prognosis for ear dermatitis in cats is generally excellent if treatment is sought out early. Secondary  damage to the outer, middle or inner ear can mean a less positive outcome for the cat. Cauliflower ear, caused by continuous and vigorous scratching, often causes permanent disfiguration of the external ear. The delicate hearing structures inside the ear can also become damaged, resulting in partial or complete loss of hearing, which requires lifelong care from the cat owner. Ask your veterinarian about proper recovery and management needs for your cat after ear dermatitis.
Ear dermatitis can be expensive to treat. To avoid high vet care expenses, secure pet health insurance today. The sooner you insure your pet, the more protection you’ll have from unexpected vet costs.
Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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Ear Dermatitis Questions and Advice from Veterinary Professionals
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tabby
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Olaf
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6 Years
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0 found this helpful

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My pet has the following symptoms:
None
My cat had large, yellow scabs on the inside, tips of each ear. They are each roughly he size of a dime. There is no head shaking, no scratching, no apparent pain or discomfort. Just dry, scabby areas. His food isn’t different and none of our other three cats have this.
Aug. 10, 2018
0 Recommendations
There are a few different causes for the lesions your describing which may include ringworm, other infections, parasites among other causes; normally with these conditions we would see signs of pruritus so it is difficult to say what the specific cause is. You should visit your Veterinarian for an examination and possibly a skin scrape to be on the safe side. Regards Dr Callum Turner DVM
Aug. 10, 2018
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domestic short hair
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Mila
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1 Year
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My pet has the following symptoms:
Head Shaking
Hello, I have had my kitty for about a year now. I rescued her when she was 10 weeks and she had ear mites in both ears which were treated. Ever since then, she has had chronic ear problems with the left ear. I have taken her to the vet 6 separate times and she was diagnosed with a yeast and bacterial infection in the left ear. I have been given 4 different kind of antibiotics and NOTHING HAS WORKED. At this rate I am losing hope and scared of permanent damage. She is now losing hair on the ears and has scratched below her ear so much that she has hair loss and is bleeding. I am taking her to a different vet to get another opinion and I am hoping for a answer soon...
June 28, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
I'm sorry that Mila is having this problem. If she has had chronic infections, she may need to have her ears cultured to see what is growing in there and what antibiotic it needs, She may also need a deeper ear exam to see if there is a growth or other problem that is contributing to her chronic ear problems.
June 28, 2018
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Tux
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Amigo
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8 Months
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0 found this helpful

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My pet has the following symptoms:
Scabs On Ear
Hi my cat had wounds a while ago we thought he got into a fight but now his wounds are ok after getting an injection from the vet. Now we have noticed some scabs/spots on his ears and it could be ear dermatitis this could u recommend some Medication and treatment for cats ear dermatitis?
June 27, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
There are many causes for scabs and spots on the ears of cats, including bacterial, fungal, parasitic or allergic causes. It would be irresponsible of me to recommend any treatment, since all of those are treated very differently, and I cannot examine Amigo. It would be best to have a recheck with your veterinarian to see what is going on with him and get appropriate therapy.
June 27, 2018
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tabby
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Kitkat
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3 Years
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My cat has a small tear in the tip of his ear. I thought he got in a fight and that it would heal but although it is scabbed over the rear seem to be getting longer. Could it maybe be a mite issue?
May 26, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
If the wound in Kitkat's ear seems to be getting worse, and not better, it would be a good idea to have him seen by a veterinarian, as they can examine him, do any testing that needs to be done, and get him treatment to resolve this problem. I hope that all goes well for him.
May 26, 2018
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Ear Dermatitis Average Cost
From 422 quotes ranging from $200 - $500
Average Cost
$250
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