Question
A recent patient reported that they have a congenital preauricular sinus cyst, which did not subside after three days of symptomatic anti-inflammatory medication. How should one handle this situation?
Answer
Based on the patient’s description, the presence of a cyst in the congenital preauricular sinus, which has not improved after anti-inflammatory treatment, may indicate the formation of an abscess. In this case, it is recommended to perform incision and drainage to remove the pus, reduce swelling and pain. After the inflammation subsides, consider surgical treatment to eliminate the focus. Preauricular sinuses are prone to recurrent attacks; simple anti-inflammatory treatment can only temporarily alleviate symptoms, and surgical treatment is the long-term solution. Therefore, for the treatment of congenital preauricular sinuses, appropriate treatment plans should be chosen based on the severity of the condition, and attention should be given to subsequent dietary and psychological care.