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Oof, that looks nasty! He definitely needs to see a vet so you can figure out what's going on. I'd be worried that it's inflamed like this inside the ear too, which can definitely cause temporary or permanent deafness if it's not addressed. It's against forum rules to give any medical advice for something that hasn't been diagnosed by a vet, or to guess at diagnoses, so we won't be able to help you anywhere near as much as your vet can!
 

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Yeah, that looks bad. Definitely a vet check.
 
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