need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on whatsapp chat  (84960595 six five) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )

Surgery is needed. Antibiotics only control the infection. They cannot close the sinus. Only surgery can cure this problem

Definitive treatment = Complete excision of sinus tract Important points: • Surgery is the only permanent cure • It removes the entire tract → prevents recurrence Preferably NO Best practice: 1. First control infection (if active inflammation present) 2. Wait till: • No redness • No swelling • Minimal or no discharge 3. Then do surgery Operating during active infection = higher chance of recurrence

If you give Antibiotics it will give only temporary cure Definative treatment for permanent cure is only surgery You need to go for surgery

preauricular sinus pit with persistent white drainage, which is consistent with a chronic accumulation of skin cells and debris within the narrow sinus tract. Antibiotics like Cephalexin and Bactrim treat active bacterial infections (cellulitis) but cannot remove the underlying tract, which acts as a reservoir for recurring drainage or a potential chronic abscess. Definitive treatment usually requires surgical excision of the entire tract, which ENTs typically prefer to perform once acute inflammation has subsided to reduce the risk of recurrence. It is common for drainage to continue if the tract is deep or branched, and surgery may still be performed while it leaks if the infection is stable rather than acute. Persistent drainage could also resemble a sebaceous cyst or an infection with antibiotic-resistant bacteria, so consider asking for a culture and sensitivity test.