Patient's question:
When the child was just born, it was noticed that there were two small holes, about the size of needle tips, on the left ear. At the time, it wasn't paid much attention. It wasn't until the small holes started to seep yellowish fluid that the problem was felt. Later, it was found out that it was a congenital preauricular fistula. If it becomes inflamed, it can be very painful, and the treatment method is wanted. How is congenital preauricular fistula treated?Doctor's answer:
Consider it to be congenital, meaning it was abnormal during the embryo's growth and development. This small hole should never shrink with age. It is recommended to consider surgical treatment when the child is a bit older, such as after one week, and to make a decision after a thorough examination at that time. This is because the fistula must be completely detached to prevent the spread of infection. Surgery is still the most thorough approach.Before the surgery, it is important to avoid infection of the fistula. If it becomes infected, it will be more difficult to remove the fistula cleanly. If inflammation is detected, seek medical attention promptly. Also, pay attention to avoiding colds, as the fistula and nasal airway should remain open. After a cold, inflammation may spread upward, so it is advisable to enhance the child's nutrition to boost their immunity.