Does inflammation of the congenital preauricular fistula require surgery?

Patient's question:

Recently, my nose and throat have been very painful, and even eating has become a problem. I had a thorough check-up at the hospital. Do I need surgery for an inflamed preauricular fistula?

Doctor's answer:

If congenital preauricular fistula is repeatedly infected, it is best to go to the otolaryngology department for examination. If the condition is suitable, surgery to remove it is recommended after the inflammation is controlled, as leaving it can always be a potential risk. Activities like bathing or skating can potentially cause infection. However, many preauricular fistulas are difficult to surgically treat due to anatomical reasons, so it is recommended to have a check-up at the hospital.
Patients with congenital preauricular fistula can, while understanding the need for symptomatic treatment, use folk remedies as supplementary therapy in daily life. It is essential to avoid excessive hunger or fullness in daily diet and never overeat or binge drink.

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