Why does inflammation of the congenital preauricular fistula cause a lump?

Patient's question:

Inflammatory congenital preauricular fistula, with a lump, no pus, recurring four or five times. Previously, applying alcohol for two or three days usually resolved it. Is surgery necessary?

Doctor's answer:

From the symptoms, it appears to be an infection of the preauricular fistula. Attention should be paid to local hygiene. Iodine-impregnated cotton balls can be used for sterilization. Attention should be paid to skin hygiene and sterilization. Antibiotics are required. If the medication is not effective, it is necessary to go to the otolaryngology department of the hospital for a thorough examination. Patients with congenital preauricular fistulas can, while understanding symptomatic treatment, use dietary therapy as supplementary treatment in daily life. In daily dietary habits, it is necessary to maintain a proper diet and avoid stimulating foods.

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