Treatment of pilonidal sinus by phenol application and factors affecting the recurrence

Kaymakçıoğlu, Nihat; Yağcı, Gökhan; Şimşek, Abdülmuttalip; Ünlü, Aytekin; Tekin, O. F.; Çetiner, Sadettin; Tufan, Turgut

doi:10.1007/s10151-005-0187-4

Cited by 77 publications

(78 citation statements)

References 12 publications

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“…It is recommended that any sinus orifice smaller than 3 mm should be enlarged to apply phenol much easier and more comfortably (9,11). Orifice dilation is often achieved by a clamp, but in some cases either a small incision is done or a 1 cm diamond shaped skin is excised along with the sinus orifice (9,16,27,30,31).…”

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

“…These can seriously decrease chemical cauterization effectiveness of the phenol by decreasing its intensity applied to the sinus. It has been reported that microbiologic evaluation of sinus content does not help in understanding either disease etiology or treatment process (16). Sampling for culture and antibiotic susceptibility is required in case of an acute abscess.…”

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

“…The methods are various. There are techniques that adjust the amount of phenol based on sinus volume measurements (14,16,31). The amount of phenol in the application is usually determined by injecting a certain amount of phenol solution into the sinus and then by checking the overflow from the other sinus orifice (1,18,30).…”

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

“…2-5 gr crystalline phenol is filled into the sinus with the aid of a clamp, it quickly dissolves at body temperature, the excess phenol drains out of the sinus, and is removed carefully from the region. In some other cases, 1-4 mL of liquid phenol is injected by using a venous catheter into the sinus (14,16,17,19,21,30). Phenol impregnated into small piece of cottons can also be used (11,31).…”

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

“…Phenol application, owing to its minor sclerosing effects, provides quick recovery by increasing granulation and fibrosis (9,13,15). Due to the anesthetic effect of phenol, patients experience minimal pain in the postoperative period (16,17).…”

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Treatment of pilonidal disease by phenol application

et al. 2017

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Section: Methods Of Phenol Applicationmentioning

confidence: 99%

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

Section: Methods Of Phenol Applicationmentioning

confidence: 99%

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Treatment of pilonidal disease by phenol application

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Management of Pilonidal Disease

2023

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ImportanceThe management of pilonidal disease continues to be a challenge due to high rates of recurrence and treatment-associated morbidity.ObservationsThere is a heterogeneous repertoire of treatment modalities used in the management of pilonidal disease and wide practice variation among clinicians. Available treatment options vary considerably in their level of invasiveness, associated morbidity and disability, risks of complications, and effectiveness at preventing disease recurrence. Conservative nonoperative management strategies, including persistent improved hygiene, depilation, and lifestyle modification, focus on disease prevention and minimization of disease activity. Epilation techniques using both laser and intense pulse light therapy are also used as primary and adjunct treatment modalities. Other nonoperative treatment modalities include phenol and fibrin injection to promote closure of pilonidal sinuses. The traditional operative management strategy for pilonidal disease involves excision of affected tissue paired with a variety of closure types including primary midline closure, primary off-midline closure techniques (ie, Karydakis flap, Limberg flap, Bascom cleft lift), and healing by secondary intention. There has been a recent shift toward more minimally invasive operative approaches including sinusectomy (ie, trephination or Gips procedure) and endoscopic approaches. Overall, the current evidence supporting the different treatment options is limited by study quality with inconsistent characterization of disease severity and use of variable definitions and reporting of treatment-associated outcomes across studies.Conclusions and RelevancePilonidal disease is associated with significant physical and psychosocial morbidity. Optimal treatments will minimize disease and treatment-associated morbidity. There is a need for standardization of definitions used to characterize pilonidal disease and its outcomes to develop evidence-based treatment algorithms.

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