Sine preauricular or fistula preauricular is abnormality congenital in the preauricular soft tissue, which is characterized by the formation of a fistula in the area. Usually there is hole small or pit on front helix ascending which is located in the anterior part of the outer ear. 1 Preauricular fistula is one of the abnormalities auricular congenital Which most general with number the incident around 1%-2% worldwide. The incidence of this disorder is estimated to be around 1%-2% globally, with prevalence varying by region and race. The highest incidence is reported in Africa, while in Asia the incidence ranges from 1-10%. 2–4 There is no significant difference in the incidence of preauricular fistula between men and women. 5