另一種治療方法，就是動手術。如果孩子的耳前瘺管不只一次受到感染的話，就需及早進行手術切除瘺管組織，減低重複發炎的機會，並減少因瘺管發炎引起的痛楚。兒童一般會在全身麻醉的情況下進行手術，避免他在手術中移動，影響手術過程。切除瘺管前，醫生會先確保它清潔，並且沒有受細菌感染。然後醫生會經小孔注入有色藥水，以清楚顯示所有的瘺管旁支。這些躲藏在皮層下的旁支也需要徹底地被除去，否則任何一個剩下的旁支都有可能增生其他瘺管，爆發更多感染源頭，增加日後治療的難度。

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