If an infected ear fistula has already drained pus on its own, is additional drainage still necessary?
When an ear fistula becomes inflamed and forms pus that drains spontaneously, local incision and drainage should be performed under a doctor's guidance, along with anti-inflammatory treatment.
Preauricular sinus is a congenital abnormality characterized by a small opening in front of the ear, typically near the foot of the helix. The other end of the tract is blind-ended and may branch into various sizes and depths. Slight pressure can cause a small amount of foul-smelling white discharge to emerge. After infection, local inflammation and abscess formation may occur. Repeated infections can lead to scarring or abscesses.
When a preauricular sinus becomes abscessed, if the drainage opening is large enough, pus may drain spontaneously. However, if the opening is small, incision and drainage must be performed under medical supervision, along with administration of anti-inflammatory medications. Commonly used anti-inflammatory drugs include enteric-coated aspirin tablets and acemetacin sustained-release capsules.
After surgery, it is important to properly care for the wound, keeping it dry and clean to promote healing. A light diet is recommended, avoiding spicy or irritating foods.