Preauricular sinuses are common congenital malformations .There is a high risk of recurrence if not excised correctly on the first time.Studies shows surgery under local anesthesia contributed to more recurrence, it did not mean that it was only the anesthesia technique that influenced the recurrence. Surgeons should bear in mind that complete removal of the epithelial lining provides a lower recurrence rate, especially under local anesthesia.
Patients with recurrence of pre auricular sinus is not uncommon. The factors for recurrence of preauricular sinus reported in different studies are infection, sinus rupture, recurrent sinus, incomplete removal of preauricular sinus and its ramifications, use of local anesthesia. Recurrence rate may be reduced by meticulous dissection of the sinus, use of extended preauricular incision (supra-auricular approach), avoidance of sinus rupture and closure of the wound dead space. Here the patient has got a recurrent pre auricular sinus getting infected. The surgery is going to be done under general anesthesia.
