What medications are available for the inflammation of congenital preauricular fistula?

Patient's question:

Two days ago, the external appearance of the swelling was just slight edema. When gently pressed, a small amount of pus was discharged from the small hole. By touch, it felt like there was a pimple-like abscess near the ear cartilage inside the fistula.
Previous treatment and effectiveness:
At the age of 25, I had rarely experienced inflammation in the past, but sometimes there would be pus discharge when it itched. In the recent period, it has flared up twice—once near the small hole, and this time it was deeper inside the fistula.
What kind of help is needed:
What medicine should be used first for topical anti-inflammatory treatment?

Doctor's answer:

Generally, asymptomatic individuals do not require treatment. If there is an infectious inflammation, antibiotics or sulfonamide drugs such as penicillin or erythromycin can be administered orally. If an abscess is formed, it should be incised promptly to drain the pus, maintain local cleanliness and sterilization, and change the dressing with povidone-iodine gauze. Once the redness and swelling subside, if residual fistulas remain, the infection may persist, making subsequent surgical treatment less effective.
Finally, during the treatment period, patients should maintain a balanced diet, follow a regular schedule, actively participate in physical exercise, regulate their physical and mental health, and keep personal hygiene to avoid bacterial invasion due to weakened immunity.

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