Congenital Dermal Sinuses in Children Their Relation to Pilonidal Sinuses

Haworth, J. C.; Zachary, R.B.

doi:10.1016/s0140-6736(55)93376-6

Cited by 68 publications

(22 citation statements)

References 22 publications

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“…In 5 cases, the coccygeal abnormality was not in isolation. 13,15,24 Additional dimples and/or sinuses above the intergluteal crease and hemangiomas were documented. The risk of associated OSD and neurologic infection has been clearly demonstrated for such cutaneous abnormalities.…”

Section: Resultsmentioning

confidence: 99%

“…Controversy regarding an association with OSD and the proper evaluation and management of isolated cutaneous defects in the coccygeal region exists. 13,[15][16][17][18][19][20][21][22][23] Given the relative frequency of these cutaneous abnormalities, any statement requiring diagnostic evaluation is of public health concern. Based on our studies, it becomes difficult to recommend surgical treatment or even radiographic evaluation for isolated coccygeal pits.…”

Section: Discussionmentioning

confidence: 99%

“…It has been determined that ϳ2% to 4% of children harbor intergluteal dorsal dermal sinuses. [11][12][13][14] These sinuses that occur below the natal cleft in the perianal region are frequently referred to as pits or dimples. They may become susceptible to local recurrent infection from trauma or hirsuitism.…”

mentioning

confidence: 99%

“…Some authors argue that the presence of any cutaneous abnormality in the gluteal region warrants radiographic and/or surgical evaluation because of a suspected association with abnormal communications with or various abnormalities of the contents of the intraspinal cavity. 13,[15][16][17][18] Some clinicians suggest that the respective appearance of the lesion should determine its further work-up. Lesions are inspected for the ability to discern the cutaneous base or for the presence of hair.…”

mentioning

confidence: 99%

“…Lesions are inspected for the ability to discern the cutaneous base or for the presence of hair. 13 Others, however, believe that all coccygeal dimples or sinuses are innocent and warrant no additional evaluation other than physical examination. 19 -23 Hence, the proper evaluation and management of these isolated cutaneous defects in the coccygeal region are relatively uncertain.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Coccygeal Pits

Weprin

Oakes

2000

Pediatrics

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ABSTRACT. Background. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. They communicate between the surface of the skin and deeper structures and may occur anywhere along the craniospinal axis. These sinuses are thought to result from abnormal separation of the cutaneous and neural ectoderm between the third and fifth week of intrauterine life. They may be often accompanied by other cutaneous stigmata, various dysraphic abnormalities, or intraspinal tumors.In the sacrococcygeal area, cutaneous congenital abnormalities are relatively common. It is estimated that 2% to 4% of children harbor intergluteal dorsal dermal sinuses. These intergluteal sinuses in the perianal region are frequently referred to as pits or dimples. Their cause is considered similar to other congenital dermal sinuses and appears unrelated to acquired pilonidal conditions observed in adults. They may become susceptible to local recurrent infection from trauma or hirsutism.Controversy regarding the evaluation and management of cutaneous defects in the coccygeal region exists.Methods. Both a literature review and a career review of clinical material were performed. Databases for articles published in English were surveyed for key words relating to coccygeal sinuses using standard computerized search techniques. The medical records of children presenting to our neurosurgical clinic for evaluation of dorsal dermal sinuses were reviewed to identify those with intergluteal sinuses.Results. In the evaluation of reported cases and of our own, we were unable to identify any children with coccygeal sinuses without other cutaneous markers other than hair with findings suggestive of intraspinal communication.Conclusions. Intergluteal dorsal dermal sinuses are relatively common lesions that frequently come to neurosurgical attention.

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Section: Resultsmentioning

confidence: 99%