“Is there a way to fill in preauricular pit?”

Hello,

Yes, surgery to find the tract and remove it.

Dr. D

No, you don't "fill them in." Pre-auricular pits are blind pockets lined with skin. The skin sheds into the pocket, so that occasionally you may have a very small amount of discharge from it (foul-smelling keratin debris). The deeper and/or longer it is, the more likely this is to happen. The more extensive ones sometimes become infected and form abscesses that require drainage and/or excision. Unusual ones can tunnel beneath the skin and extend as far as the neck, requiring rather extensive, but usually superficial surgery to remove. Most are short and cause no trouble. The extent can be determined by gentle probing with a lacrimal probe. If they cause no trouble, most people leave them alone. If infections arise, surgical excision can be offered after the infection is treated with incision and drainage and/or antibiotics.

Yes, this is fixable and can be removed with a short procedure, sometimes even in the office setting. See an ENT to get some options for removal.

The only effective way to get rid of a pre auricular pit is to have it excised. These pits can be very simple and easy to remove but occasionally they are deep and extend down to where the facial nerve is. In order to effectively remove the pit, it should be traced all the way to its base.

PREAURICULAR PITS DO NOT USUALLY CAUSE PROBLEMS, THEY ARE A RESULT OF EMBROLOGIC DEVELOPMENT OF THE AURICLE,,,THE CARTILAGE PART WE CALL THE EAR,,,,SOME TIMES THE GET INFECTED AND BECOME PREAURICULAR CYSTS, THESE MAY OR MAY NOT REQUIRE SURGERY, BUT OTHERWISE NO TREATMENT IS REQUIRED

This is a first brachial arch embryonic anomaly. It should not be filled in. Best to have it excised by ENT. Usually there is a tract which must be dissected out. Can be performed in office as out-patient. Stop all NSAIDS ten days before procedure.