Preauricular Sinus Excision

Surgical excision may be considered when a congenital preauricular fistula repeatedly becomes red and swollen, discharges pus, forms an abscess, or when long-term secretions affect daily life and hygiene. The decision is usually made in conjunction with the fistula's shape and extent, whether it is in a quiescent phase of infection, previous incision and drainage or recurrence, age and anesthesia tolerance, and overall health, and is comprehensively determined by an ENT specialist based on assessments such as ultrasound.