PREAURICULAR TAGS AND SINUSES

What Are Preauricular Tags and Sinuses?

Preauricular tags and sinuses are small, common birth differences that appear near the front of the ear (the “preauricular” area).

  • Preauricular tags are small skin-colored bumps or bits of tissue, sometimes connected by a narrow stalk.

  • Preauricular sinuses are tiny openings or pits near the ear that may form a small tunnel under the skin.

These features form while a baby is developing in the womb. They are generally harmless and often do not affect hearing or ear function.

How Are They Diagnosed?

Diagnosis is usually simple and based on appearance. Your ENT specialist will:

  • Examine the area near the ears

  • Check for any discharge, swelling, or signs of infection

  • Ask about family history, as these features can run in families

In most cases, no special tests are needed if the child is otherwise healthy and hearing is normal.

Do Preauricular Tags or Sinuses Need Treatment?

Preauricular Tags:

  • Usually harmless

  • Can be removed surgically for cosmetic reasons, often under local anaesthetic in older children or adults, or under general anaesthetic in young children

Preauricular Sinuses:

  • Often cause no problems

  • Can occasionally become infected, causing:

    • Swelling

    • Pain

    • Redness

    • Discharge of fluid or pus

If infections keep happening, surgery might be recommended to remove the sinus tract and prevent further issues.

Are There Any Related Concerns?

  • Preauricular tags and sinuses are usually isolated findings, but occasionally they may be associated with certain genetic conditions, especially if there are other differences in facial or kidney development.

  • If multiple anomalies are present, your doctor may recommend further assessment, including hearing tests or kidney ultrasound in some cases.

When Should You See a Doctor?

See your ENT specialist if:

- The area becomes swollen, painful, or starts to drain fluid
- Your child has frequent infections in the same spot
- You’re considering removal for cosmetic reasons

Key Takeaways

- Preauricular tags and sinuses are common and usually harmless.
- Treatment is only needed if they become infected or for cosmetic concerns.
- Most children grow up with normal hearing and no long-term problems.