Preauricular sinus/fistula [Essential medicine]

[@Jase-L]

This is a great video. I would like to explore additional details as it relates to microbes entering the PA-Sinuses. Having had bilateral PA-Sinuses (Non-Syndromic) my entire life and encountering hundreds of others with the defect (especially in the era of worldwide communication online), perhaps the most discussed and most bothersome feature is frequent discharge. Nearly everyone with these sinuses complains of a strong, foul odor of discharge -- Literally a smell that is synonymous with human fecal matter (shxt!). Release of the discharge can be involuntary at times when smiling, laughing or by a variety of other facial movements -- An unexpected discharge even in the smallest of amounts can release a pungent smell that is particularly embarrassing, especially if being intimate with others. Most of us however, usually feel an itch and respond by itching the sinus location which often results in the discharge. It seems many intentionally squeeze/drain their PA-sinuses as often as possible for obvious reasons. Discharge can be clear to yellowish liquid to thick and pasty-like purulent exudate. It appears the PA-Sinus itch is intense due to the body trying to naturally heal or close off the "opening" -- The body recognizes this sinus as abnormal and as a defense mechanism develops a tiny keratin scab at the opening to close it. Just about all of us remove the tiny scab by itching, rubbing, or picking it off to accomplish manual discharge especially. Of course the sinus can't close off naturally in any permanent fashion (despite the bodies effort to do this repeatedly) the only option is surgical intervention. The video illustrations here make it seem as if microbial pathogens enter the sinuses from the physical opening (hole) of the ear. Is this completely accurate? The NIH reports the pathogens causing PA-Sinus/Pit infection is Staphylococcal species, and less frequently, Proteus bacilli, Streptococcus and Peptococcus species. Given that all of these Bacterial Flora are present in the gut/body, could this be where the buildup and fecal-like odor comes from? Perhaps during transport of various immune responses to close off the sinus/pit (of which a great deal of the immune system exists in the gut), could these bacteria be migrating to the PA-Sinus/Pit from the gut or other parts of the body? While bacteria are everywhere, it just doesn't seem as easy for the bacteria to enter the PA-Sinus/Pit from external sources versus internally. There are several videos about PA-Sinus Etiology and Surgical Repair, but those of us with these unique (and sometimes gross lol) anomalies have so many more questions. KLH, I hope you know how much I appreciate your time -- I'm sure many of us would be grateful for your thoughts on this :)

[@farnazmaleki5641]

Very well explained 👏🏻

[@nammuyheng46]

Just got the surgery on 20th Apr 2023. at first, I was really scare about this, but I found it was easier than pull out the ending teeth. It didn’t hurt after surgery at all. Thx q for ur sharing video.

[@elsenxelilov9612]

Salam indi emeliyatdan sonra necesiniz

[@elsenxelilov9612]

Zehmet olmasa

[@edinakalac]

Where to go for surgery? I've got it, so many times infection, I m sick and tired, and I want to go for surgery. But what kind of doctor is for this?

[@jorgegatica2853]

How much cost?

[@nammuyheng46]

@@jorgegatica2853 it is around 3k plus.

[@人机器]

视频很好，加油。很清晰的结构图，谢谢。

[@lookingaheadoftime]

Thank you for the video. What's your opinion of using a typical q-tip to clean the canal regularly? I used to have this prearicular sinus before going for a surgery to have it removed.

[@k37sg9]

Sometimes I would have some kind of sebaceous leaking out. Is there harm of having it or having it leak?

[@citizenm6568]

Thank you best video explanation ever

[@Maitsa_Qothrunnada]

Excuse me admin, would you like to ask if you have books or journals that explain radiological examination techniques for fistulography in the ear with preauricular cases?

[@citizenm6568]

Thank you for your time

[@scratzch]

How often do you see a fistula in adults? I'm 100 positive I've got one linked to the inner mucosa of my jaw area that's been productive for 4 years now.

[@momtajrahman4120]

I had preauricular sinus & i went thro surgery to remove it when i was 8years old. But it was unsuccessful. But after that now i am 24 years old, that my sinus got infected. So i went to local hospital & doctor did an incision surgery to let out the pus & gave me antibiotics. But it didnt work. I had dressing for one month & he then thought of giving me stitches on that area but again after giving me stitches infection came up. As a result he did another incision. N i do still go for dressing. Its one & half month running. He didnt remove it totally cause he says he is confused where the pus actually coming from. He said- when the first surgery goes wrong, its very critical to find out the cyst inside to remove it. So he is not doing that totally removal surgery. Here it hurts alot im mentally feeling so bad. I dont know what to do either. 😞

[@Health-is-Wealth92]

Good luck brother hope you recover soon stay strong

[@momtajrahman4120]

@@Health-is-Wealth92 Thank you. Pray for me, much appreciated 🥺💜

[@peachmelba9333]

My Indian friend you require a specialist- the branch of medicine is called Otolaryngology- check at your nearest university- many have hospitals with such a specialist

[@beckyshee]

Right now it's the 4 time reoccurring

[@momtajrahman4120]

@@peachmelba9333 Sadly BD sucks when it comes to medical issues.

[@teeg.4922]

Mines is on my anti tragus most ppl get it on their cartilage my ear pit is exposed more I can feel where the sinus tract mines start and end mines is attached to the ear lobe basically I can’t get my ears pierced cause the ear pit is the way and the hole on the side (piercings be in the front but my ear pit hole was on the side of the ear you can put a ear ring In the side hole if you want) but it just itches when it needs to be clean it doesn’t hurt at all it take care of its self but it look funny! And it is so rare cause everybody ear pit is on their cartilage

[@jorgegatica2853]

How much cost to removed it

[@Alaa-ft4is]

I just did the surgery 2 days ago.

[@markbaz]

How are you recovering?

[@shitafebriana9742]

what happenedn