Does otorrhea require surgery?

Feb 10, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
Otorrhea refers to congenital preauricular fistula. Surgery is not always necessary for congenital preauricular fistula. This condition results from incomplete fusion of the first branchial cleft during embryonic development. If there are no symptoms or infections, surgery can be deferred with regular follow-up examinations. However, if there are recurrent local infections or discharge from the fistula, timely surgical intervention such as preauricular fistulectomy should be performed to improve the condition.

Ear discharge in clinical terms refers to congenital preauricular fistula. Surgery is not always necessary for congenital preauricular fistula; the decision should be based on individual circumstances.

1. No surgery

Congenital preauricular fistula is usually a remnant caused by incomplete fusion of the first branchial cleft during embryonic development, and belongs to a congenital abnormality of ear development. If the patient has no symptoms and no history of infection, surgery can be avoided temporarily. Regular follow-up visits at the hospital are sufficient.

2. Surgery required

If there are recurrent local infections accompanied by itching, discharge oozing from the fistula opening, or skin ulceration due to infection, prompt medical attention is needed. Surgical intervention, such as excision of the preauricular fistula, should be performed to completely remove the fistula and improve the condition.

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