Patient's question:
I had surgery when I was a child. It was fine for a long time, but the abscess reappeared at the end of last year, and I had surgery again. However, it flared up again this year. If I have surgery again, can it be completely cured?The help I hope to receive: What are the symptoms of a congenital preauricular fistula?
Doctor's answer:
It may be due to recurrent bacterial growth in the wound, leading to recurrent inflammation. During the infectious period of preauricular fistula, surgery is not considered.The treatment of congenital preauricular fistula includes antibiotic therapy. If an abscess forms, drainage and incision are necessary. However, drainage and incision destroy the integrity of the fistula, making it prone to recurrent infections. In cases where congenital developmental abnormalities are present, there is a certain reverse hereditary tendency. It is best to wait until the inflammation subsides and perform timely surgical excision.
Because such fistulas have a blind end at the lower end, they are prone to accumulating lipids, which can easily lead to bacterial infections and inflammation.