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Preauricular abscess

For 2 weeks I have been dealing with a very painful abscess on my ear, where after alot of research and several trips to a local medical clinic and ER, I have found that what I have is an abscess in the Preauricular pit/sinus.

I have been given 3 rounds of antibiotics, one of which I am still taking (Clindamyacin). I have yet to see any improvement from taking the antibiotics, so I went to the ER yesterday where they attempted to do and Incision and Drainage procedure. Some of the abscess was soft, but a large part of it in the middle was still hard... ??? With making an incision, the doctor was able to squeeze a good portion of the abscess out... but there is still a fairly large sized lump there. There has been no drainage coming from the incision since she did this.
I still have some tenderness down the side of my cheek, as well as some puffiness up into my scalp area as well.

I can say that by doing what she did, it did relieve alot of pressure and pain that I was having, but I still am having to take pain relievers to reduce the swelling and continued discomfort.
She instructed me to continue finishing out the anitbiotic I am now taking, and that it should dry up anything left in the abscess, as she said that at the point it was beforehand that no antibiotic would be able to get rid of it alone without I&D procedure being performed.

I am still very concerned, and am thinking of contacting an Ear, Nose and Throat physician about this bc I just feel like a regular physician does not know much about preauricular pits/sinuses, as I have had to educate every physician I have seen thusfar for treatment bc they had no idea what those little holes in the tops of my ears were. I get the feeling that they do not know the complications that can arise from the condition, and that has me worried that if the swelling continues that more serious problems are going to develop.

Has anyone else had this problem?

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Avatar universal
i have also a pre auricular sinus infection and i have it  for almost a month already. i have been seeing an ENT MD for this one and they advised me to have I&D to relieve the pressure, pain and for for proper healing, but unfortunately, due to too much pressure and my carelessness it ruptured on its own. I've been taking clinamycin (dalacin C) for almost 2weeks now coz my doctor advised me to take it for that span of time. i think clindamycin works  best for ear infection coz it deeply penetrates (as what my doctor told me) in the ear. My doctr prescribed me a mupirocin its an ointment to prevent bacterial in the surface.
Helpful - 0
Avatar universal
Hi , i am 18, i live in Sydney Australia, i had problems with preauricular sinuses too. i had 3 operations all three were unsuccessful, these things are a massive headache if not taken care of and treated the right ways. If the infections happen to come back again and keep coming back then i would advise you to take Keflex to stop the infections as soon as it starts the first little signs of infections (it helped me alot with stopping the infections). Recently on the 4th of December i had a successful operation done and it is now all cleared up. i advise if you are going to have a operation on this problem, then have it operated by a surgeon that has operated on these problems and make sure he has alot of experience. My last operation was operated by a professor in sinuses and i think that if you live in Australia and are willing to get rid of them problems then you should see this guy.
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Avatar universal
All I can say is I have struggled with this all my life. I am now 27 yrs old. I just had a recurrent infection. It usually forms an abscess behind my ear cos the pit was sewn shut by the Dr during the first surgery.This last episode was the last straw. Went to my ENT Dr's office to schedule 2nd surgery on monday. Surgery was supposed to be for tmro but cos abscess poped today. Dr said we have to cancel surgery till further notice. Said since its been recurring for many years. It will be hard to find all the tracts due to scar tissue. He prefers to operate while i have the huge abscess ( dont understand the logic behind this). Is this not when the infection is active???
Brief or not so brief History:
I was born with the hole on my right ear. As a little girl who grew up in Africa I remember asking myself wat in the world was the "Stinky" liquid that came out of my ear. I would like to describe the smell as similar to  rotten fish. The worst part of it is the internal itch and tingling( like there is water dripping inside) inside the hole became unbearable. I just could not get to the itch. So one day in 1996 I remember the day very vividly I was playing and then it started to itch internally so bad. I tried rubbing my external ear to soothe the itch but the stinky fluid came out again and the itch and tingling became more intense.and then finally I rushed and grabbed a match stick and i broke it down to the "perfect size" and stuck it in the hole and omg it felt so good. I still remember the feeling till this day. However, my bliss was short lived and it broke inside the hole. Fast forward story: parents very upset abt match stick.Had guilty feelings for years that i had brought this on my self. Had surgery, got another abscess flare up a wk after surgery (1996) and that has been my life eversince. I get this stuff like 4- 5 times a yr, it lasts for exactly 5 days and then i have to get a I&D or pop it myself cos antibiotics DO NOT WORK. It wil deft be back unless the whole sac and sinus tract is COMPLETELY removed. I think i still have some of the tract in my ear. I feel tingling and then I know that i am about to have another flare up cos I think wat happens is that the fluid builds up and since my hole is shut it has no where to come out from. Hence the excruciating head pressure. The pain is HORRIFIC. on a scale of 1 to 10. I told my bf 9.8 . 10 I would have been sobbing loudly. I havnt slept in 3 days( I literally slept sitting up in bed), missed 2 days of work.  Feel relief after it popped while i was at work today. I have a gaping hole behind my ear. From my observation, I think the build up fluid never stops.  I feel bad for kids who have to go thru this! Srry for the long story. Finally there are others out there who can relate!
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Avatar universal
i am also experiencing the same thing as yours..at the moment the pain is life hell..it caused me stiff neck and burning pain makes me feel sooo uncomfortable.i went to see a EENT doctor 2 days ago and prescribed Proxco med and advised me to have warm compress.i did not buy the prescribed meds because before i came to see her i am already taking antibiotics so i decided not to buy the meds she prescribed and continue taking the antibiotic i started taking..until now it is still panful and it feels like its getting worst..i already had a lot of research in the internets and almost all of the articles iv read is to have a I&D which i am sooooo scared to do..huhuhuhu what am i gonna do now?
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Avatar universal
Wel, i also ones had an i&d at d back of my ear bt afta abt 6 months anoda pop up, wich d doc. said it wil b best 2 hav surgery wich i had, nd up til nw i'm stil havin recurrent pre auricular abscesses. I'm scared 2 go 2 d dr. Because of anoda i&d or surgery. What shld i do plz?
Helpful - 0
Avatar universal
Several years ago, I had a severe infection in one of my preauricular pits.  It was swollen and spreading to my face and neck.  Touching it was extremely painful.  At first it was red, then turned a gradual purple.  I was on antibiotics, none of which worked.  I had to rush to the ENT, who at age 80, had to take cultures to determine the best treatment. Because of the pressure from the infection, there was concern that it may cause blindness, so he had to excise it.  I guess it is called the I&D procedure.  Extremely painful, the process definitely relieved the pressure and took a few days to drain through this tiny rubber tube.  Fortunately, it healed and caused no problems until NOW, 4 years later.  It has grown in size. I went to another ENT who said we have to excise it. I was concerned because it continues to swell yet is not painful to the touch, yet.  The ENT, whom I am seeing on a fairly regular basis for another issue, keeps insisting on removing it.  What is the cost for this procedure?  What is the success rate of it not recurring? What is the likelihood of scarring or nerve damage?  Any comments would be appreciated.  Currently, I am on cefprozil, and while I thought it was working the first few days, the cyst/abscess continues to grow.
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