Subungual pilonidal sinus of the hand in a dog groomer

Unroofing and Marsupialization vs. Rhomboid Excision and Limberg Flap in Pilonidal Disease

“…This hair leads to a foreign body reaction resulting in inflammation and abscess formation. 2,3 Although many surgical treatments have been described (e.g., simple incision and drainage, unroofing and marsupialization, excision and primary closure, and rhomboid excision with a Limberg flap procedure 4Y6 ), none has emerged as a best treatment option. An ideal operation for this disorder should effectively eradicate the disease, minimize the risk of recurrence, and carry low morbidity and disability.…”

Management of Pilonidal Sinus Disease With Oblique Excision and Primary Closure: Results of 493 Patients

“…3 The condition is also known to occur in the interdigital spaces in barbers, 4 sheep shearers, 5 and dog groomers. 6 Management of this disease remains controversial. Many different types of operations have been described in the literature.…”

Interdigital Pilonidal Sinus in a Hairdresser

“…Complications include local cellulitis, abscess formation, purulent discharge and, rarely, osteomyelitis (Grant and Mahaffey, 2001;Mohanna et al, 2001). Our case would suggest that the same rules concerning treatment seem to apply to interdigital pilonidal sinuses as to chronic sacrococcygeal sinuses (Hull and Wu, 2002;Kronborg et al, 1985) where it is well documented that infection, particularly by anaerobic bacteria, plays a critical role in delayed wound healing and recurrence (Marrie et al, 1978;Marks et al, 1985).…”

“…A single case in the finger pulp has been reported (Grant and Mahaffey, 2001). Allington and Templeton (Allington, 1942;Templeton, 1942) first reported an interdigital pilonidal sinus and sporadic reports have appeared in the literature since that time, identifying this condition as being an occupational hazard of working as a male hairdresser, a male sheep shearer, dog groomer or milker of cows (Matheson, 1951;Meninghini and Gianotti, 1964;Mohanna et al, 2001;Papa et al, 2002;Patel et al, 1990;Phillips, 1966;Uysal et al, 2003).…”