Tuesday, January 6, 2015

PILONIDAL SINUS



PILONIDAL SINUS

This  term is applied to any inflamed subcutaneous  tissue  which
contains  hair.   This type of sinus is found most often  in  the
cleft  between  the buttocks.  It can also occur in webs  of  the
fingers  and umbilicus.  These are repeated attacks of  infection
and  abscess  formation  and a chronic  discharging  sinus.   The
cavity is lined with epithelium and granulation.



TREATMENT

An  acute  inflammation  needs  to be  drained  and  followed  by
dressings. 

A  chronic  small sinus can be treated conservatively  with  sitz
bath cleaning and dressing.

A  discharging sinus with long history will need  wide  excision. 
The  excised  tissue  includes the sinus's , the  tract  and  the
inflammed area containing the hair.

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