Can I Have Surgery for My Non-Inflamed Preauricular Sinus?

Surgical intervention for preauricular sinus?

I have been troubled by my preauricular sinus for several years.
It secretes a foul-smelling yellow discharge daily from both ears, but the left ear has a much higher frequency of discharge compared to the right ear, which only discharges occasionally.
I read online that I shouldn't squeeze it, but it becomes extremely itchy every day, to the point where it's uncomfortable, so I feel the need to squeeze it out! However, since I have never had any inflammation, I see that others undergo surgery due to inflammation.
My preauricular sinus is very bothersome, but since it is not inflamed, can I still have surgery to remove it?

123, 10~19 year old female. Ask Date: 2018/03/25

Dr. Li Jiaxuan reply Otolaryngology

Surgery may be considered for your condition, but it is not absolutely necessary.
The procedure is not complicated, but there is a recovery period.
If you decide to proceed with surgery, it is recommended to schedule it during the winter or summer break.
Wishing you a safe procedure.

Reply Date: 2018/03/25

More Info

Yes, you can have surgery for your non-inflamed preauricular sinus. A preauricular sinus, also known as a preauricular pit or cyst, is a congenital condition that manifests as a small opening or tract near the front of the ear. While many individuals with a preauricular sinus may not experience any symptoms, some may suffer from recurrent infections, drainage of foul-smelling discharge, or itching, as you have described.
In your case, the persistent yellow discharge and itching, despite the absence of inflammation, indicate that the sinus is still causing discomfort and may be prone to future infections. Surgical intervention is often recommended for symptomatic preauricular sinuses, even if they are not currently inflamed. The surgery typically involves excising the sinus tract to prevent further episodes of irritation or infection.
The decision to proceed with surgery should be made in consultation with an otolaryngologist (ear, nose, and throat specialist) or a qualified surgeon who can evaluate your specific situation. They will consider factors such as the frequency and severity of your symptoms, the potential for future complications, and your overall health.
Surgery for a preauricular sinus is generally safe and can be performed under local or general anesthesia, depending on the complexity of the case and the patient's preference. The procedure usually involves making a small incision near the sinus opening, carefully excising the sinus tract, and then closing the incision. Recovery time is typically short, and most patients can return to normal activities within a few days.

It's important to note that while surgery can effectively alleviate symptoms and prevent future complications, there is a small risk of recurrence or complications, such as infection or scarring. However, these risks are generally outweighed by the benefits of resolving the discomfort associated with the sinus.

In summary, if your preauricular sinus is causing significant discomfort and you are experiencing symptoms like itching and discharge, it is advisable to discuss surgical options with your healthcare provider. They can provide you with a thorough evaluation and help you make an informed decision about whether surgery is the right choice for you.

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