A hard lump behind the ear may be related to lymphadenitis behind the ear, cellulitis behind the ear, sebaceous cyst behind the ear with secondary infection, etc. General treatment, medication and surgery should be chosen according to the cause and the degree of the disease.
1. Retroauricular lymphadenitis: it is mostly due to the spread of acute purulent inflammation in the head, neck and ear, which is received to the retroauricular lymph nodes through lymphatic channels, and the secondary infection may be characterized by enlargement and hardening of lymph nodes, and self-consciousness of pain or pressure pain. Patients need quiet rest, systemic application of amoxicillin, cefaclor and other broad-spectrum antibiotics, local microwave irradiation and hot compresses, with ichthyol ointment and other external treatment.
2. Behind the ear cellulitis: due to the skin behind the ear, mucous membrane damage or other lesions, so that the loose connective tissue under the skin by bacterial infection. Localized swelling, redness, heat and pain manifestations. Penicillin antibiotic anti-infective treatment is preferred for this disease, and metronidazole or tinidazole is added when anaerobic infection is suspected. There is an abscess formation needs to be incised and drained.
3. Post-auricular sebaceous cysts secondary infection: Post-auricular skin sebaceous gland ducts blocked sebum retention, causing sebaceous cysts, secondary bacterial infection when the performance of localized lumps, hardness, redness, swelling and pressure pain performance. Amoxicillin, cefuroxime and other anti-infective treatment can be applied, mupirocin ointment ointment local application, infection control can be surgical removal of cysts.
When you find a hard piece behind the ear pain when pressed, you need to actively improve the relevant medical examination, a clear diagnosis, follow the doctor’s instructions standardized treatment.