Anoop M, Asra Tamkanath, Tasneem Fatima, Omer Bin Jabri, Gurbeer Kaur
Many times pre-auricular sinus may present as ‘variant type’ in the post-auricular region. Here we present 19 year old female who used to get recurrent swelling associated with discharge in the post-auricular region since childhood. We identified a small discharging pit in the right post-auricular region just at the lower aspect of retro-auricular groove. X-ray sinogram confirmed the tract to be of 1.9cm and communicate with external auditory canal. The entire sinus tract was excised under microscopic guidance via post-auricular approach. The patient was followed regularly for one year and there was no further recurrence in the form of either discharge or swelling. Awareness regarding the ‘variant type’ of pre-auricular is essential to avoid unnecessary investigations and surgical procedures which may subsequently impact the outcome of surgical excision and reduce the risk of complications.
