Pilonidal Sinus Is Like an Ordinary Abscess and Should Be Treated Like One

Terminal Hairs That Resemble Occipital Hairs in Pilonidal Sinus Disease: A Case Report

“…It is important that patients with PSD be educated to prevent disease recurrence. The most important action is to regularly clean hairs from the surrounding area 7 through at least 30 years of age, at which point PSD becomes much less common 3,4 . In tropical climates, applying powder in the intergluteal cleft to absorb sweat and keep the skin dry is beneficial for PNS prevention 3,4 …”

“…3,4 In tropical climates, applying powder in the intergluteal cleft to absorb sweat and keep the skin dry is beneficial for PNS prevention. 3,4…”

“…They deroofed the sinus and performed curettage of the cavity while the patient was under local anesthesia (Supplemental Video). [3][4][5] Several hairs were extracted from the sinus that ranged from 2 to 13 cm in length; many hairs were longer than 10 cm (Figure, Supplemental Video). The patient had long scalp hairs but scant hair in the lumbar and intergluteal regions and no previous history of long hair in these regions.…”

“…She had a 2-year history of recurrent abscess formation and episodic pus discharge in the midline of her lower back (see Figure and Supplemental Video, http://links.lww.com/NSW/A162). They deroofed the sinus and performed curettage of the cavity while the patient was under local anesthesia (Supplemental Video) 3–5 . Several hairs were extracted from the sinus that ranged from 2 to 13 cm in length; many hairs were longer than 10 cm (Figure, Supplemental Video).…”

Pilonidal Sinus Is Like an Ordinary Abscess in an Unusual Place and Laying-Open (Unroofing) Curettage Is the Optimal Treatment

“…7 In laying-open (unroofing) curettage, these 2 modifiable factors are not neutralized, and it is pertinent to instruct the patients to take care of these 2 risk factors postoperatively to avoid recurrence (by regularly cleaning hairs and applying talcum powder to the gluteal cleft to keep it dry). 2,4 Lastly, SPD is not a malignancy. Therefore, wide excision is unwarranted and perhaps leads to overtreatment.…”