The laboratory should be instructed to look specifically for Streptococcus milleri and anaerobes and to assess sensitivity to erythromycin and tetracycline in particular. Oral contraceptives do not seem to work nearly as well as Antibiotics. Antibiotics are the mainstay of treatment, especially for the early stages of the disease. The response is variable and unpredictable and complete suppression or prolonged remission is uncommon. Early cases with only inflammatory cystic lesions in which Surgery.
Surgical excision is at times the only solution.
Residual lesions, particularly indolent sinus tracts, are a source of recurrent inflammation. Local excision is often followed by recurrence.