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How should pre-auricular sinus in a child be treated?

Q: My daughter is 2 years 2 months old. Since birth, she has a hole in the ear. I consulted a couple of ENT surgeons and they said it is called pre-auricular sinus. One surgeon said that we had to operate while another one said that whenever there is any discharge from the ear, only then treatment is required and suggested against surgery. Could you please suggest what needs to be done in this case?

A:If a pre-auricular sinus is there, it may eventually need surgery. But only if it gets infected, and there is a painful, cystic swelling, when it would need to be treated by antibiotics. However, it is an elective surgery, which I would definitely wait and see if any problems do arise or not specially in a 2 years old.

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