Kevin Wijaya Oey Check your children's ears now. Can you spot a tiny hole as depicted by the picture above? This small hole is known as a preauricular pit. It also has other names, such as preauricular sinus or fistula. The hole arises from a problem in ear development during the sixth week of pregnancy. The sinus canal can be either short or long, with several branches forming zig-zag shapes across ear tissue.
Preauricular Ear Pit Baby: The preauricular pit was first documented by a scientist named Van Heusinger in Both genders are similarly affected by the condition. Note that there are certain ear conditions that can be mistaken for preauricular pits. Preauricular tags are are mounds of skin near the ear. A branchial cleft cyst is a more serious condition which initially shows up as a small opening, skin tag, or dimpling around the neck.
These cysts, which look like extra pouches of flesh, are at risk of becoming infected and needs to be drained. This is the reason why a pediatrician will refer your child to an ENT specialist if he is aware that your child has a preauricular pit.
The ENT specialist will examine the child further to eliminate anything serious. However, there are some red flags to take note. Not all children have identical symptoms, but here are common symptoms that require treatment from an ENT specialist: Inflammation of the surrounding tissue near the preauricular pit. An infection, which is characterized by redness of surrounding tissue, pain, fever or swelling inside the and around the pit.
These are small masses filled with pus or an irritating fluid discharge, usually white or yellow in colour. Cysts are painless lumps near the hole which expand slowly over time, as dirt accumulates near the hole. A newborn baby with such a congenital defect will be carefully analysed to see if the hole will present an additional risk.
Here are some syndromes that come with preauricular sinuses: Do get this checked right away, as the syndrome has been known to cause abdominal irregularities and cancers of the kidney and liver. Branchio-oto-renal syndrome, which can be detected by: Always let a medical professional assess your child.
Do not self medicate. The best course of action you can take if you see a preauricular pit is to consult an ENT specialist or otolaryngologist. They are experienced in their fields and can administer the best possible treatment procedure for your child.
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They will perform imaging techniques MRI, CT scans, ultrasounds scans to help them develop a diagnosis and ascertain what the best course of action is. If your child does have other syndromic features, your doctor may recommend you to consult with other specialists.
If your otolayngologist does find something requiring medical attention, they may perform at least one of the following, depending on the issue at hand: Giving your child antibiotics if he suspects that the pit is infected. The needle will allow the doctor to obtain cells and understand the bacteria causing the disease better.
This technique is called needle aspiration. Cutting open an abscess and draining it if needle aspiration fails. Removing the whole tract by surgery if the preauricular pit gets infected too often. Parents can expect the surgery to take about one hour to complete after their child is anesthesised.
As this is a minor surgery, it does not need to be done in a hospital. Surgeons normally only conduct the operation when the child has recovered from an infection. What Happens After Treatment?
Once your child has received treatment for an ear pit infection, they will need to be closely monitored for further issues. If infections repeat, surgery is needed. Surgical stitches will break down on their own, so not to worry.
They should be fit enough for school, though.
Just avoid activities that are too taxing, and the surgical wound will recover in no time. We at theAsianparent hope that this information regarding preauricular ear pit baby was helpful in relieving your concerns.
If you suspect a serious medical condition, please consult a doctor.
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