Question
Parents inquire about their child having a congenital preauricular fistula, with symptoms of inflammation, redness, swelling, and itching around the ear lobe, along with the discharge of a white, smelly secretion.
Answer
Doctors explain that congenital preauricular fistulas can be classified into simple, infected, and secretory types, which are usually asymptomatic. In cases of mild discomfort, there may be a thin mucous or milky-like secretion from the fistula opening, accompanied by regional itching. If there are no symptoms or infections, no treatment is necessary. However, if infection occurs, it may recur frequently. It is recommended to undergo surgical removal as soon as possible to avoid scarring and poor drainage, thereby reducing the risk of future infections.