Ask a Ear Nose Throat (ENT) Specialist: Dr Barrie Tan from Gleneagles Hospital Singapore

Ask a Doctor ForumCategory: OtorhinolaryngologyAsk a Ear Nose Throat (ENT) Specialist: Dr Barrie Tan from Gleneagles Hospital Singapore
dr. Barrie Tan asked 2 years ago
I am Dr Barrie Tan, an Ear Nose Throat (ENT) specialist based in Gleneagles Hospital Singapore. I am experienced in managing ENT conditions such as sinus problems, snoring, obstructive sleep apnoea, allergic rhinitis, voice problems, thyroid nodules, neck lumps, hearing loss, tinnitus and giddiness. I am a President’s Scholar and have over 20 years of clinical and surgical experience. For more than 6 years, I was a senior consultant and the head of the department of otolaryngology (ENT) at the Singapore General Hospital (SGH). During my tenure, I routinely managed and operated on young children with ENT conditions as well as the full range of Adult ENT conditions. I am well known for my expertise in treating hearing loss, as well as performing endoscopic ear surgeries. I introduced endoscopic ear surgeries in SGH in 2014 and have been actively spearheading its adoption and development in Singapore since. I have performed over 100 ear surgeries endoscopically, ranging the entire gamut of different ear surgeries. These include endoscopic tympanoplasty, myringoplasty, tympanomastoidectomy, ossiculoplasty, stapedotomy and stapedectomy, as well as endoscopic facial nerve decompression. I am also an experienced cochlear implant surgeon, having personally performed several hundred cochlear implant surgeries in Singapore and countries like Vietnam, Indonesia and Bangladesh. I am often invited to lecture at international conferences on my experience in cochlear implant surgeries, and invited as an instructor in specialised ear surgery workshops and courses. I have served as a course director in numerous symposia and masterclasses in cochlear implant surgery, such as the Singapore General Hospital Cochlear Implant Surgery Masterclass Course in 2017 and 2018. I am passionate about bringing surgical innovations and updates in medical technology to Singapore and the Southeast Asian region, and is an early adopter of approved innovative surgical techniques and surgical hearing implants. I am the current president of the ASEAN Otorhinolaryngological (ENT) Head & Neck Federation, and was the president of the Society of Otolaryngology (ENT) Head & Neck Surgery Singapore from 2017 – 2019. I am also an avid teacher, spending much of my time teaching and nurturing the next generation of ENT surgeons. From 2012 – 2014, I was the director of the SingHealth ENT Residency Training Program. I was also appointed as a member of the National ENT Residency Advisory Committee which oversees the 3 ENT Residency programmes in Singapore. Besides being a surgical innovator, I am also an administrative innovator. I co-founded the SingHealth-Duke NUS Head and Neck Centre in 2014, and from 2014 – 2018, served as the deputy head of the SingHealth-Duke NUS Head and Neck Centre. In this capacity, I helped to coordinate the development of multidisciplinary head and neck surgery capabilities and care of complex head and neck conditions in the various SingHealth hospitals and institutions. I volunteer at the Canossian School, which runs a special education programme for children with hearing impairment and who wear hearing devices like hearing aids and cochlear implants. In the past, I performed ear surgeries like myringoplasties and mastoidectomies in rural communities. In recent years, I have been performing cochlear implant surgeries for deaf Vietnamese children in Hanoi and Ho Chi Minh City under the Hear-The-World programme. Learn more about Gleneagles Hospital here: https://patients.smarterhealth.my/hospital/gleneagles-hospital-singapore/ Learn more about me here: https://patients.smarterhealth.my/specialist-doctor/barrie-tan/ I am excited to be here to share/discuss ENT Health with everyone. Whether you've got questions about sinus problems, snoring, sleep and hearing issues, voice problems, neck lumps, ask me anything! === Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question.
27 Answers
Aini K answered 2 years ago
Doctor, I have an infection in the middle of my ear. My ENT prescribed antibiotics but it didn't get better. Sometimes white fluid comes out of my ear. What should I do to understand the cause of this problem and how to cure it, Doc? Thank you
dr. Barrie Tan replied 2 years ago

Hi, it would be important to do a Nasoendoscopy to look at the back of your nose. This is a camera attached to a small flexible tube that can be inserted into the nose. This is to evaluate if there are any growths or swellings in the back of your nose that may be blocking or pressing on the openings of the Eustachian Tubes (the natural ventilation path of the ear that connects to the back of the nose). Usually middle ear infections arise from bacteria that go up the Eustachian Tubes to the middle ear space. Problems with the function of the Eustachian tubes may predispose to middle ear infections. Besides antibiotics, nasal decongestant medications are usually also prescribed to ensure that the mucus from the front of the nose does not drip back and block the opening of the eustachian tubes.

As for white fluid coming out of your ear, that would be unusual in a purely middle ear infection unless there is a hole in the ear drum. When that happens the fluid in the middle ear will leak out through the hole into the external ear canal. In such a situation, I would advise you to start some antibiotic ear drops to your affected ear for at least 1 week to treat the infection. When the infection settles, you should have an examination of the ear drum to see if there is a ear drum perforation (hole). If there is one, you should consider undergoing a surgery to repair the hole when the ear is dry, to prevent a future ear infection.

Selna Atha answered 2 years ago
Doctor, I feel something blocking my throat. The throat itself itches. My chest x-ray showed that my heart and lungs are fine, only that there is an allergy. I have had a dry cough for 3 months. What is the solution, Doc? Thank you
dr. Barrie Tan replied 2 years ago

I would suggest that you undergo a Nasoendoscopy to evaluate your nose and also the deeper portions of your throat. This will allow us to visualise any problems that may arise from the nose that may cause a chronic cough like chronic sinusitis with a constant post nasal drip (backdrip of mucus at the back of the nose). Also other causes such as laryngopharyngeal reflux, where the stomach juice and acids reflux into the throat, can be seen with evidence of swellings and redness of certain portions of your throat. The treatment would depend on the diagnosis made after the Nasoendoscopy. Most times, treatment would begin with some medications, before surgeries may be advised for certain conditions.

Refsi Hafiyanti answered 2 years ago
Doctor, I went to an ENT once because I had been finding it hard to breathe. The doctor’s diagnosis was that I'm experiencing the narrowing of the nose canal, but not severely. I was advised to exercise regularly and to breathe clean air, as well as to wear a mask to prevent the dust entering my nose. Yes, if I do those tips, I can breathe easily. But, when I stop doing it, the problem comes back. My question is, is there any permanent solution for this?
dr. Barrie Tan replied 2 years ago

The main problems of your nose is nasal obstruction from what sounds like possible Inferior Turbinate hypertrophy or general swelling of the nasal tissues from underlying allergic rhinitis since you are better when you are not exposed to dusty environments. There are permanent solutions to breathing difficulties from such nasal obstruction. They basically involve shrinking the swollen tissues and correcting any other structural deformities of the nose like deviated nasal septums. This will require an examination with a nasoendoscopy first to look for the sites of nasal obstruction before deciding on what types of surgeries are required. The main types of surgery include the following:

1. Endoscopic Inferior Turbinectomy or Turbinoplasty: This involves resecting (cutting away) or trimming of the inferior turbinates which are the tissues located along the side walls of the nose inside. They are often swollen in underlying allergic rhinitis. They occupy significant space in the nasal cavity and after reduction or removal, there is a much larger available space in the nasal cavity to breathe

2. Septoplasty: To correct any deviation of the nasal septum. That would allow the air entry in the ear to be equal on both sides after surgery.

3. Radiofrequency reduction of the Inferior Turbinates: This is similar in intention to a Inferior Turbinoplasty but serves to reduce size of the front 1/3 of the inferior turbinates on both sides. This will result again in more space available in the nasal cavity.

Zhang hui kian answered 2 years ago
Good afternoon, Dr Tan. I have a sore throat and short breath and chest pain. I saw an ENT, he said I had gastric acid reflux. Is there any way to treat my sore throat, Doc? Thank you in advance, Dr. Barrie Tan
dr. Barrie Tan replied 2 years ago

Hi, Gastric Acid reflux can definitely cause the symptoms that you have mentioned. As such, the treatment of acid gastric reflux would include the following:

1. medications to reduce the stomach acid production
2. Lifestyle changes: Avoid certain foods like citrus fruits, chocolate, coffee, tea, fatty and fried foods, garlic and onions, mint flavoring, highly spiced foods. tomato based foods. To sleep with at least 1 firm pillow to elevate the neck slightly. To avoid going to sleep with a full stomach. Best to allow at least 3 hours interval for the stomach to empty from the last meal before bedtime.
3. If the reflux is very severe, it is necessary to have an evaluation of the esophagous and stomach by a gastroenterologist for any predisposing cause for the reflux.

Elvira answered 2 years ago
Doctor, there is a hole in my ear drum, but it is a small hole. The doctor said it can be treated without surgery, Is there any chance for this hole to get bigger?
dr. Barrie Tan replied 2 years ago

Yes, there is a chance that an unrepaired hole in the ear drum will lead to future middle ear infections and a widening of the ear drum perforation. If you are in good health and under 65 years old, it would be best to undergo a surgery to repair the ear drum perforation as the chance of future infections of the middle ear through entry of bacteria via the perforation, is high.

Tiska answered 2 years ago
Doctor, I feel my nose is full with mucus, but nothing comes out of it actually. It has been 2 weeks. What should I do to get it cured?
dr. Barrie Tan replied 2 years ago

It is important to complete a Nasoendoscopic examination of the nasal cavity and the openings of the paranasal sinuses. The treatment will depend on the underlying problems seen. These can range for excessive mucus production from allergies, to polyps to sinusitis infections. The treatment methods vary for each and may start with medications first before considering various types of surgery.

Toni Syaifudin answered 2 years ago
Doctor, my inner nose has been itching for this past week. When I pried into it, it bled. I used saline once to clean it, but it just hurts. Why is that so, Doc?
dr. Barrie Tan replied 2 years ago

There could be several reasons why it hurts, itches and bleeds. There could be small polyp or growth in the inside of the nostril that is traumatised whenever you insert anything into the nose. There could be an infection of the nose and this is aggravated by introducing anything into the nose. I would suggest that you get a review by an ENT doctor who can do a nasoendoscopy. This would allow the doctor visualise the entire nasal cavity to determine if there is any such problem

Junaidi Suliah answered 2 years ago
Doctor, my left ear rings but without any pain. I saw an ENT specialist, she said my ears are fine, there is no wax, but the ringing is still there and it makes me uncomfortable. Is there any solution? I have hypertension.
dr. Barrie Tan replied 2 years ago

The ringing in the ears are probably what is commonly known as Tinnitus. Usually this condition is not debilitating. But for some it is very disturbing. It is important to perform a Pure Tone Audiogram to ensure that there is no associated hearing loss on the left ear. If there is, then certain investigations such as an MRI scan of the Internal Acoustic Meatus (MRI IAM) should be performed to ensure there are no sinister causes like a tumour in the brainstem pressing on the hearing nerve. Most times, tinnitus tends to fade into the background after a few months. For those in which the tinnitus does not subside, there are various therapies such as masking therapy, the use of hearing aids, acupuncture as well as some medications that may be of some benefit to a few patients. However, there is no one universal treatment that is effective for all patients with tinnitus and oftentimes there may be a need to trial these different therapies to see which one works for you.

Taslim Taslim answered 2 years ago
Doctor, my right ear rings. I saw an ENT specialist, and the examination showed my ears are fine. Besides that, I have a bloating stomach, anxiety, and gastric acid. Thank you
dr. Barrie Tan replied 2 years ago

The ringing in the ears are probably what is commonly known as Tinnitus. Usually this condition is not debilitating. But for some it is very disturbing. It is important to perform a Pure Tone Audiogram to ensure that there is no associated hearing loss on the left ear. If there is, then certain investigations such as an MRI scan of the Internal Acoustic Meatus (MRI IAM) should be performed to ensure there are no sinister causes like a tumour in the brainstem pressing on the hearing nerve. Most times, tinnitus tends to fade into the background after a few months. For those in which the tinnitus does not subside, there are various therapies such as masking therapy, the use of hearing aids, acupuncture as well as some medications that may be of some benefit to a few patients. However, there is no one universal treatment that is effective for all patients with tinnitus and oftentimes there may be a need to trial these different therapies to see which one works for you.

Ruth Murniati answered 2 years ago
My ears are often buzzing/feel clogged. Why is this so?
dr. Barrie Tan replied 2 years ago

The ringing in the ears are probably what is commonly known as Tinnitus. Usually this condition is not debilitating. But for some it is very disturbing. It is important to perform a Pure Tone Audiogram to ensure that there is no associated hearing loss on the left ear. If there is, then certain investigations such as an MRI scan of the Internal Acoustic Meatus (MRI IAM) should be performed to ensure there are no sinister causes like a tumour in the brainstem pressing on the hearing nerve. Most times, tinnitus tends to fade into the background after a few months. For those in which the tinnitus does not subside, there are various therapies such as masking therapy, the use of hearing aids, acupuncture as well as some medications that may be of some benefit to a few patients. However, there is no one universal treatment that is effective for all patients with tinnitus and oftentimes there may be a need to trial these different therapies to see which one works for you.

M Ridwan answered 2 years ago
Doctor, my ears hurt so much since 3 weeks ago. I saw an ENT specialist and the doctor said there was a big, hard piece of dirt stuck in my ear. The doctor tried to pull it out but failed. He gave me medicine to soften it and finally it came out and yes it was big. After that, the pain was gone. But a yellowish liquid kept flowing out (sometimes with blood in it), and it's still happening as of now. My mother checked my ear using a flashlight and said there was a white lump inside my ear. In fact, I feel it as well. Is that a boil, Doc? What medicine should I take to cure it? Please give me your answer because so many clinics have been closed since COVID-19 hit us. Thank you.
dr. Barrie Tan replied 2 years ago

It is difficult to say what that white lump inside the ear is now. However, if there is still yellow fluid coming out together with blood stains, we may have to assume that there is an infection.If so then you should see an ENT surgeon for cleaning of the ear canal under a microscope and administer some topical antibiotic ear drops. There may also be a need to take some oral antibiotics.

Iwan Setiawan R answered 2 years ago
Doctor, my throat itches and I have phlegm in my cough. I saw a GP, he said it was inflammation. It really bothers me at night when I go to bed. In the morning, I cough out so much phlegm. What is the solution, Doc? Thank you
dr. Barrie Tan replied 2 years ago

There could be several reasons for your symptoms. It would be necessary to do a complete examination of your throat with a Flexible Nasoendoscopy. This allows the ENT surgeon to visualise your larynx (voice box), tongue base and the openings to your esophagous. A common problem detected on this scope would be evidence of laryngopharyngeal reflux, which is where the stomach juice comes up to the throat and causes irritation. This often happens at night when you lie down to sleep as there is no more gravity to help keep the stomach contents down as compared to during the daytime when you are upright in position most of the time. We would be able to see swelling around the back part of your voice box on the nasoscope. Treatment would include some changes to your lifestyle and also some medications. Other causes include inflammation of the voice box (Laryngitis) and also some infections of the lower airway like Bronchitis. Treatment would probably include some oral antibiotics in these situations.

Jackie Valdeza answered 2 years ago
My ears buzz and leak due to a diving accident. From my ears, liquid often flows out. What should I do, Doc?
dr. Barrie Tan replied 2 years ago

It sounds like the diving accident may have damaged your ear drum and possibly your inner ear. The hole in the ear drum will then predispose to frequent middle ear infections as bacteria will often get into the middle ear through the hole in the ear drum. These ear infections then lead to infected liquid leaking out from the ear. The buzzing sound is what we term as "Tinnitus" and may have resulted in some damage to the inner ear from the high pressures in the middle ear when diving previously. You should see an ENT Surgeon and consider a surgery to repair the hole in the ear drum if there is one, as there is a significant chance of repeated infections that may cause further damage to the ear.

Susan mulalinda answered 2 years ago
Doctor, I cleaned my right ear using a cotton bud. The cotton is stuck in my ear. I tried to pull it out but instead push it deeper in. How do I get it out, Doc? There is a salon next to my house and they offered therapy. Is it dangerous? This has been a week.
dr. Barrie Tan replied 2 years ago

You should see an ENT doctor instead to remove the stuck cotton. They will have the necessary equipment (Microscopes and special forceps) to visualise and remove it safely. Generally it is safe to leave the cotton stuck for a while as it does not lead to infections quickly but it is best to eventually have it removed as it will block the ear and cause some mild hearing loss as well as trap more of the wax inside.

Yohana Sung answered 2 years ago
Doctor, I have a problem with tonsils, both right and left. Is it dangerous? What is the medicine for this?
dr. Barrie Tan replied 2 years ago

It depends on the problem that you are facing with the tonsils. Medicines are usually antibiotics which can help to treat the underlying tonsil infection and should be used for an acute infection (Acute tonsillitis). If the Acute tonsillitis is frequent (more than 3 times a year for 2 consecutive years), then you should undergo a surgery called tonsillectomy, which is the removal of the tonsils. Other common problems of the tonsils include having very large tonsils that obstruct the airway during sleep (Obstructive Sleep Apnea) especially in children. The cure for this is also to undergo a Tonsillectomy.

Friska Raihan answered 2 years ago
Doctor, I have a small hole in my ear drum. Yesterday, some blood came out of the whole. Because it hurt, I applied ear drops. Is it dangerous - using ear drops for a ear with a hole in the drum?
dr. Barrie Tan replied 2 years ago

Certain antibiotic ear drops can be used when there is a hole in the ear drum as they are safe to the inner and middle ear and does not cause side effects of damage to the inner ear, especially to the hearing. However, certain eardrops should be avoided if there is a hole in the ear drum as they have toxicity to the inner ear. So it depends on the ear drop that you are using, particularly the type of antibiotic that is being used in the ear drop.

Asnah answered 2 years ago
There is a green liquid coming out of my left nostril if I bend down. It smells. Why is this so, doc?
dr. Barrie Tan replied 2 years ago

This sounds like some pus like fluid coming out of your left nose. The most common cause would be due to an infection of the paranasal sinuses, called sinusitis. You should see an ENT doctor and have an examination of your nose through a Nasoendoscopy. You may require treatment with oral antibiotics and other oral and topical medications to the nose if there really is clinical evidence of sinusitis.

Asnah answered 2 years ago
Doctor, there is a hard lump on the front of my neck, close to the right side, that can be felt when I swallow something. Is this dangerous? What disease is this, Doc?
dr. Barrie Tan replied 2 years ago

Any hard lump on the side of the neck needs to be properly examined and investigated. Many possible tissues when enlarged can cause such lumps and swellings. Since this lump is felt more prominently when you swallow, it most probably is arising from the thyroid gland. So you may very well have a thyroid nodule. This will need to be further investigated with ultrasound investigations, fine needle aspiration cytology (putting in a needle to extract some cells from the nodule for examination) and thyroid hormone blood tests. Thyroid nodules can be either benign or malignant (cancerous) so they should be evaluated properly. If it is a malignant nodule, it would be considered dangerous and surgery and further therapy would be necessary.

Pateh Ranggas answered 2 years ago
Doctor, my nose is clogged when I stand up. But if I lie down, it is better. And I also have difficulties in taking long breaths.
dr. Barrie Tan replied 2 years ago

Since it changes with position, this may be due to differences in the blood flow through your nose tissues when you stand up versus when you lie down. This may happen as part of a normal variant, or it may be that you have some form of rhinitis, or sensitivity of the nose tissues, most probably Vaso-motor rhinitis. This leads to swelling of the nose tissues. Treatment depends on how severely you feel you are affected by the nasal obstruction and can range from medications to various types of nasal surgery.

Astri rahayu answered 2 years ago
Last week I got a piercing on my ear, near the soft bones and the flesh. The flesh wound is almost cured but the area around the soft bone is swelling, and what worries me the most is that the swelling is almost covering the piercing, Doc. But the hole is still visible. Please give me some advice
dr. Barrie Tan replied 2 years ago

I would advise you to seek medical treatment immediately. There is a strong possibility that there is an infection of the cartilage of the ear where the ear is pierced and the soft tissue may very likely swell further and completely embed and cover the ear stud over time. Infections of the cartilage portion of the ear are very serious infections and these need to be treated aggressively with removal of the ear stud and antibiotics. Poorly treated cartilage infections of the ear may lead to long term deformity of the ear. As such if your infection do not resolve with oral antibiotics, then you may need to have the ear stud removed and be admitted for intravenous antibiotics.

Efie answered 2 years ago
Doctor, I found a clear liquid coming out of my right ear. This happens only when I am chewing my food. I have seen an ENT specialist twice, she said it is due to an inflammation in the outer ear. I have taken oral antibiotics but there is no improvement. Please give me your advice. Thank you
dr. Barrie Tan replied 2 years ago

The most common reason for clear discharge from the ear is an infection of the external or middle ear. Besides oral antibiotics, you should have a course of topical antibiotic ear drops as these can deliver the antibiotics in much higher concentrations to the ear.

Matias KNM answered 2 years ago
I have a boil in my ear. It hurts when the water touches it whenever I take a bath. I have taken oral antibiotics so far but there is no improvement. Please give me your advice doc.
dr. Barrie Tan replied 2 years ago

If the boil persists despite oral and topical antibiotic ear drops, then you may require a minor surgery to drain the infection or abscess in the ear. This may be done under local anesthesia or general anesthesia depending on how severe the boil or abscess is.

Jenny Waldiono answered 2 years ago
Doc, I have a problem with nasal septum deviation. It not only affects my breathing, but also my looks. Will an ENT specialist be able to repair the form of my nose as well? Or should I see a plastic surgeon besides seeing an ENT specialist to treat my airway?
dr. Barrie Tan replied 2 years ago

Most ENT surgeons would be able to perform a septoplasty to correct the deviated nasal septum, and there are some ENT surgeons who can perform an operation called Septorhinoplasty to correct both the internal deviation of the septum as well as the external form and look of the nose. However, please check that your ENT surgeon has been trained to perform this septorhinoplasty operation as not all ENTs have experience performing this operation.

Detamore Munaiseche (fb₩ answered 2 years ago
I am 46 years old:
  1. It has been 3 years since my right ear cannot hear and it rings. My ENT doctor said it is incurable.
  2. It has been 20 months since my left ear cannot hear. It happened suddenly without any symptoms. I woke up at night at around 1:30am because I heard a noise in my ear, like the sound of a machine and around 3 hours later, I lost my hearing. 3 days later, I had vertigo and was hospitalized.
After that..
  • My left ear rings until now (it doesn’t ‘buzz’, but it's more like a singing of a bird, or dripping of water into a bowl of water.
  • I have vertigo every time I sleep on my left side. There is a sound in my head, more often when I wake up as I raise or bow my head.
  • I often have allergies, sneezing, with my ear, nose, and throat itching, and nose obstruction. And if I take medicines prescribed by a GP, the sound in my head is gone.
  • I also often have recurrent gastric acid reflux before I lost the hearing of my left ear.
I often see ENT specialists -  two of the doctors concluded:
  1. It's a neurological problem like fainting, and that I will be able to hear again sooner or later.
  2. Viral infection that makes me unable to hear anymore
What should I do, Doc? Please give me your advice.
Tari answered 2 years ago
Doctoor, my head feels so heavy and I feel nausea and my left ear rings. I also feel cold and weak on my feet and arms. Why is this so, Doc?
dr. Barrie Tan replied 2 years ago

There may be several reasons for the various symptoms that you have described. The only symptom that is truly due to ENT condition is that your left ear rings, which is known as tinnitus. I would suggest that you have a complete ENT examination including an otoscopy to look at the ears as well as a hearing test to evaluate the possible reason for your tinnitus. As for your other symptoms, I would recommend you see a general practitioner who can perform some examinations and a general review to determine which specialists you may need to seek an opinion regarding your symptoms.

Siti Nurul Hasanah answered 2 years ago
Doctor, I want to ask why when I wake up in the morning I often sneeze and have a runny nose? Almost always, this condition disappears by the time afternoon comes around though. 
dr. Barrie Tan replied 2 years ago

The most likely reason is that you have some form of allergic rhinitis, probably to house dustmites. These house dustmites are present in your bedsheets and therefore after a whole night of exposure to them when you sleep, you wake up with an oversensitive nose and these symptoms. During the day, the symptoms eventually subside since you are not exposed to the same allergens.

Astina Saragi answered 2 years ago
Near my ears, at the top is a small, swollen hole. What disease/condition is this and how do I cure it?
dr. Barrie Tan replied 2 years ago

It is difficult to diagnose what the disease is based on the description you have made. However, there is a condition where there is a small hole seen just near the top of the external ear in front of the ear cartilage, called a pre-auricular sinus. This is a congenital condition where there is a small tract that leads from the skin surface into the tissues under the skin. This often traps dirt and bacteria and sometimes they get swollen and infected. If it is swollen, painful or discharging pus, please do go see a doctor to start on a course of oral antibiotics. Eventually the main treatment for an infected pre-auricular sinus is to undergo a small operation to remove it so as to prevent a recurrence of the infection.

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