Here the patient undergoes surgery to remove a pre auricular sinus which is a recurrence from a previous attempt.He is having constant discharge and inflamation.The procedure is done under general anesthesia.Pre auricular sinuses are present in front of the ear. they are small skin lined tracks that lead from the skin surface to deep within the tissues in front of the ear.Their track course can go into the cartilage or end in the skin tissue.In adults the surgical excision of a preauricular sinus can be performed under local anesthesia but in children general anesthesia is preferred.