PILONIDAL SINUS
PILONIDAL SINUS
- Pilonidal sinus means nest of hair.
- It is an acquired condition found in the natal cleft of the coccyx consisting of one or more usually non- infected midline openings which communicate with a fibrous track lined by granulation tissue & contains loose hair within the lumen.
- It is also called as Jeep- disease.
- More common in hairy males.
- Age 20- 30 years.
Etiology-
- Interdigital pilonidal sinus common in hairdressers.
Clinical Features-
- Intermittent pain, swelling & discharge at the base of the spine.
- Repeated abscess
- Sinus opening seen between sacrococcygeal joint & tip of coccyx.
- Sites of pilonidal sinus is midline over the coccyx, umbilicus & interdigital in barbers.
- Recurrence.
Investigations-
- X- ray of the coccyx.
Treatment-
- Inject methylene blue for branches of sinus followed by excision of sinus. (Jack knife position).
- 2 methods for treatment-
- Open wound- packed with iodine or eusol gauze
- Closed wound is closed by Z plasty.
- Rhomboidal flap
- Karydakis procedure
- Bascom’s technique
Exam Important
- It is also called as Jeep- disease.
- More common in hairy males.
- Age 20- 30 years.
- Sinus opening seen between sacrococcygeal joint & tip of coccyx.
- Sites of pilonidal sinus is midline over the coccyx, umbilicus & interdigital in barbers.
- Recurrence.
Treatment-
- Inject methylene blue for branches of sinus followed by excision of sinus. (Jack knife position).
- 2 methods for treatment-
- Open wound- packed with iodine or eusol gauze
- Closed wound is closed by Z plasty.
- Rhomboidal flap
- Karydakis procedure
- Bascom’s technique
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