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Preauricular sinus pit surgery for kid
Hi
My kid (12 years old) has had a preauricular sinus pit since birth. No drainage from it until recently.
We saw white fluid drained from the pit in February. It's been draining since then. Saw a pediatrician, and 2 ENT doctors.
So far he has taken 3 antibiotics so far. Taken Cephalexin for 7 days, bactrim for 10 days, clindamycin for 12 days. No relief. The drainage is still coming through. It's white and no smell. It comes when we pull the ear. It also comes when we don't pull the ear.
It's coming through the pit most of the time during the day. Mostly he will wear a band aid on that pit during the day and it comes out once we take off the band aid.
ENT said we can do surgery to close pit. But they said it's risky to do when discharge is still coming.
I am worried about going for surgery now. I am currently living outside India and planning to come to India for the surgery.
Does this need done immediately? Or surgery can be done later? having discharge for 2 months is ok?
Answers (8)
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It is better for you to come to India , get the kid admitted
Start iv antibiotics , get a blood work up done to see the severity of infection if any.
No such urgency to do surgery right now however there is a tract which needs to be completely removed surgically to prevent recurrence
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Hi
Don't worry about the discharge if pain is not present locally and if it's not pus (you mentioned not foul smelling) then you can wait for it to dry up. Once it is dried we can go for fistulography to know the extent of fistula which will help in planning the surgery.
Next Steps
once you are in India you can plan the surgery
Health Tips
for now you don't need to worry if pus is not present and local inflammation is absent.
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Hi ma'am.
If it's associated with pain, then that signals towards an infection, which should be treated with antibiotics, which you've already given.
Hopefully now it's not painful, and that means mostly the infection is resolved, and its just fluid inside the sinus that's getting drained out. And you don't need to worry about it.
The final treatment is surgery, yes.
It's not urgent though.
Next Steps
Get it excised surgically whenever you can. look out for pain/redness/swelling around sinus, if any of these appear- consult a doctor.
Health Tips
You can keep applying some local antibiotic ointment, to prevent infection for now.
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Firstly, It doesnot look infected or pus and it may not stop spontaneously or with antibiotics. Secondly going for surgery while active discharge doesn't hamper any outcome or its not risky atal. You can go ahead for the surgery without any worries.
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