PiloniDal Sinus

(Jeep Bottom; Driver’s Bottom)
Pilus—hair; Nidus—nest
It is epithelium lined tract, situated short distance behind the anus, containing hairs and unhealthy diseased granulation tissue. It is due to penetration of hairs through the skin into subcutaneous tissue.

Pilonidal

Features

  • Pus discharge.
  • Watery discharge Pain.
  • Tender swelling at natal cleft.
  • Tuft of hair at opening of pilonidal sinus.
Pilonidal

Treatment

  • Antibiotics.
  • Laser pilonidoplasty.
  • Excision with Z plasty.
  • Rhomboidoplasty.

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