Pilonidal sinus disease - Etiological factors, pathogenesis and clinical features

Duman, Kazım; Özdemi̇r, Yavuz; Dandin, Özgür

doi:10.5455/aces.20151019114717

Cited by 8 publications

(16 citation statements)

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“…Moreover, SP has also been considered as a localized variant of HS [5]. Young overweight adults are the most affected population [2,4,6]. As in HS, in chronic PS disease (PSD) infected abscesses as well as draining fistulae are found, with intermittent drainage and pain.…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…As in HS, in chronic PS disease (PSD) infected abscesses as well as draining fistulae are found, with intermittent drainage and pain. Shrinkage and skin scarring may also occur secondarily [6]. Furthermore, the phylogenetic homology between the upper and lower limbs, and in particular chest wall and pelvis, has long been contemplated in anatomical bibliography [7,8].…”

Section: Discussion/conclusionmentioning

confidence: 99%

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Intermammary Hidradenitis Suppurativa: Considerations on a Unique Presentation

João¹,

Cunha²,

Cabete³

2021

Skin Appendage Disord

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Introduction: Hidradenitis suppurativa (HS) is a potentially disabling chronic inflammatory disease. The intermammary location, not clearly specified in the usual phenotypic classifications, entails significant functional and cosmetic compromise. Case Presentation: Eleven cases of predominantly intermammary disease with multiple fistulization and disfiguring scarring were observed at our Department between January 2016 and March 2020. They were young (mean age = 22 years) obese or overweight women, in which the medical-surgical approach has led to variable results. Discussion/Conclusion: Intermammary HS possibly represents a unique phenotypic presentation, likely to be fistulizing and severe. We believe that anatomo-functional considerations, which can be paralleled to pilonidal sinus disease, contribute to its pathophysiology and striking appearance, and further emphasize the importance of multidisciplinary endeavor to reduce the morbidity associated with this seemingly overlooked location.

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Section: Discussion/conclusionmentioning

confidence: 99%

Section: Discussion/conclusionmentioning

confidence: 99%

Intermammary Hidradenitis Suppurativa: Considerations on a Unique Presentation

João¹,

Cunha²,

Cabete³

2021

Skin Appendage Disord

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“…Etiology of pilionidal disease is controversial, various theories have been established since it was first described, no consensus has been reached. 5 According to the supporters of congenital theory, pilonidal sinus disease occurs because of residual epithelium in the spinal canal and skin or when hair follicles enter to interspace formed by incomplete fusion occurring as a result of a defective union of the skin layer during the early embryonic period. According to the supporters of acquired theory, pilonidal disease occurs as a result of inflammation that results from foreign body reaction occurring secondary to the entry of hairs in the subdermal area after trauma.…”

Section: Discussionmentioning

confidence: 99%

Study of clinical profile, surgical interventions and outcome in a series of patients with pilonidal disease

Jawade

Bande²

2019

Int Surg J

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Background: Pilonidal disease is a controversial benign condition that often causes nuisance and disability in young adults. Sacrococcigeal region, intergluteal natal cleft, interdigital cleft in barbers and the other hair bearing areas like axilla are found to be involved. Different authors have described different techniques of management of pilonidal disease.Methods: During September 2010 to August 2018 total 24 patients were presented with pilonidal disease and were treated using various surgical interventions. This retrospective study is done to study demographics and clinical spectrum, clinical course, outcome of different surgical interventions done and complications associated with various techniques.Results: Out of 24 patients 18 (75%) were males whereas 6 patients (25%) were females. The age range was 23 to 44 years. Sacrococcigeal region is the most commonly affected region in this series. In this series average duration of presence of pilonidal disease before presentation was 89 days ranging from 4 days to 168 days. One of 24 patients was treated with medical management and rest 23 patient required surgical intervention. Complete excision with rhomboid flap was the most common way of treating pilonidal disease and was used in 10 (41.6%) cases.Conclusions: Pilonidal disease is benign condition seen in young adults associated with morbidity without any mortality. Sinus is the commonest mode of presentation and sacrococcigeal region is the commonest site affected by this disease. Rhomboid flap has a promising result in terms of less post-operative recovery time and post-operative complications.

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“…The most accepted theory postulated that PNS is an acquired condition characterized by infected sinus in the natal cleft area containing a lifeless hair tuft. 3 Multiple techniques have been prescribed for treating this condition; however; the ideal method is not yet defined. 4 – 11 …”

Section: Introductionmentioning

confidence: 99%

Combined Horizontal Split Gluteus Maximus Muscle and Fasciocutaneous Limberg Flaps for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus

Ahmad

Eltayeb

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Pilonidal sinus is a chronic recurrent medical disease. The exact etiology of the disease is still unknown, but the most accepted theory is an acquired condition characterized by infected sinus in the natal cleft area containing a lifeless hair tuft. Multiple techniques were prescribed for its treatment; however, the ideal method is not yet defined. Methods: The study population includes 58 male patients who underwent excision of their recurrent pilonidal sinus, and the resulting defects were reconstructed using combined horizontal split gluteus maximus flaps and rhomboid flaps. Outcomes were revised from patient case files and followed up in our outpatient clinic and via questionnaires. Results: The mean hospital stay was 3 days. The mean time to return to work was 16 days. Partial wound dehiscences occurred in 2 patients. Distal end flap necrosis occurred in 1 patient. There were no flap losses, no recurrences, no infections, no loss of function, and no seromas during a mean follow-up period of 24 months. All patients were satisfied with the results. Conclusions: This technique has an operative time and hospital stays comparable to those of other techniques. It has minimal and acceptable complication rates and no recurrences. We can conclude that this procedure of combined split gluteus maximus muscle flap and rhomboid flap provides an excellent, effective, easy, and feasible method of choice for reconstructing defects of recurrent pilonidal sinus disease.

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Pilonidal sinus disease - Etiological factors, pathogenesis and clinical features

Cited by 8 publications

References 0 publications

Intermammary Hidradenitis Suppurativa: Considerations on a Unique Presentation

Intermammary Hidradenitis Suppurativa: Considerations on a Unique Presentation

Study of clinical profile, surgical interventions and outcome in a series of patients with pilonidal disease

Combined Horizontal Split Gluteus Maximus Muscle and Fasciocutaneous Limberg Flaps for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus

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