How to reduce swelling from a preauricular fistula inflammation

Patient's question:

Before this year, I had never had any illness, but in the past, when I encountered this small eye, there would be discharge with a slightly foul odor. About half a month ago, the opening of the fistula started to become red and swollen, about the size of a green bean. After a week, it hadn't healed yet. How can I reduce the swelling from an inflamed preauricular fistula?

Doctor's answer:

If the child's preauricular fistula only discharges pus without redness or swelling, it is best to collect pus for bacterial culture and then perform a drug sensitivity test to select a suitable antibiotic for treatment. For cases with a large amount of pus, local dressing changes to maintain drainage is more meaningful than medication. However, if it recurs frequently, forms an abscess, and develops granulation tissue, it is prone to leaving scars. It is recommended that if conditions permit, surgery should be performed as early as possible.

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