If you have a small hole above your ear, it may be a sinus or pit in front of the ear. Preauricular sinuses are small openings or dimples that appear near the front of the ear, often in the folds of skin where the ear meets the face. These pits are congenital, meaning they are present from birth.
The exact cause of preauricular sinuses is not entirely clear, but it is thought to be caused by developmental changes during fetal development. Although generally harmless, the preauricular sinuses can sometimes become infected or form cysts, resulting in discomfort or drainage.
If you notice any problems such as redness, swelling, pain or discharge around the pit in front of the ear, it is recommended to consult a healthcare professional. In some cases, surgical removal may be recommended to prevent recurrence of infections or complications.
It is important to note that not everyone who has a small piercing above their ear has preauricular sinuses, and skin conditions or other anatomical features may be present. If you have concerns about having a piercing above your ear, it is best to seek advice from a medical professional for appropriate assessment and guidance.