A small hole next to the ear is swollen, may be congenital preauricular fistula or the first gill slit fistula with infection and so on, should cooperate with the doctor for medication, surgery and so on. 1. congenital preauricular fistula: if the congenital preauricular fistula secondary infection, resulting in a small hole next to the ear is swollen, the formation of abscesses, should be with a professional doctor to cut and drain, but also to clean, change the medication, but also with the use of cephradine, six pills and other anti-infective treatment, to be infected with the subsidence of the infection, timely surgical treatment, will be a fistula, fistula, the blind end of the removal of all the fistula, fistula, and so on. 2. the first gill slit fistula with infection: if the first gill slit fistula with infection caused by the small hole next to the ear is swollen, should cooperate with professional doctors to carry out surgery, including incision and drainage, excision of fistula, etc., and at the same time for anti-infection treatment, commonly used drugs are cefixime, cefuroxime, etc.. If there is a small hole next to the ear is swollen, it is recommended to go to the regular hospital as soon as possible, timely and standardized treatment. It should be noted that never forcefully squeeze the small hole, so as not to aggravate the inflammatory reaction.