What should I do if I have an inflamed preauricular fistula?

Patient's question:

Hearing is affected, feeling uncomfortable, feeling like ears are blocked. How to deal with an inflamed preauricular fistula?

Doctor's answer:

Hello, if there is an infection with pus formation, antibiotics or sulfonamide drugs can be administered, such as penicillin, 800,000 units each time, intramuscular injection (note to perform an allergy test); or erythromycin, 0.25g each time, three times daily, orally. If an abscess forms, it should be incised promptly to drain pus, clean the area, and disinfect it, followed by dressing changes with povidone-iodine gauze. Once the redness and swelling subside and the infection is controlled, the fistula can be excised. It is essential to remove it completely in one operation, as any remaining fistula tissue may lead to recurrence of infection, making subsequent surgery much less effective.

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