Preauricular sinus

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

A left-sided preauricular sinus since birth. Complaining of recurrent local discharge for last 2 years.

Patient Data

Age: 45 years
Gender: Male
ultrasound

There is a hypoechoic tract from the skin. It is connected to a walled-off cavity (about 6 x 3 x 3 mm). There is minimal fluid in it. This cavity abutts adjacent ear cartilage which is mildly thickened, without obvious perforation. There is mild local hypervascularity.

Photo

Photo of the left ear shows a preauricular sinus (black arrowheads).

Case Discussion

An adult male presented with complaints of discharge from a preauricular sinus. Ultrasound was performed for pre-operative evaluation, followed by surgical excision.

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