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An ear or aural hematoma in a dog occurs when blood gathers between the skin and cartilage of the ear flap. The result is an ear flap that appears to be ballooning or bulging. What Causes Canine Aural Hematoma?
Re: Puffy/thick ear flaps. I kinda agree with Willowy, but I hope a Vet would notice an aural hematoma. In any case, floppy eared dogs can easily get itchy ears, whatever the case. Rather than scratching and digging, the dog may just shake its head periodically.