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Updated: Jul 19, 2026

Decellularization-Based Quantification of Skeletal Muscle Fatty Infiltration
Published on: June 9, 2023
The importance of local subcutaneous fat thickness in pilonidal disease
Ozgul Balik1, Ahmet A Balik, Kamil Y Polat
1Department of Dermatology, Av Cengiz Gokcek State Hospital, Gaziantep, Turkey. ozgulbalik@hotmail.com
Purpose:
This study was designed to investigate the local subcutaneous fat thickness in sacrococcygeal pilonidal disease.
Methods:
Subcutaneous fat thickness was measured by ultrasonography in 125 patients with sacrococcygeal pilonidal disease and 125 age-matched, body mass index-matched and gender-matched controls.
Results:
The sacrococcygeal subcutaneous fat thickness was 14.4 +/- 2.9 mm, 18.3 +/- 3.1 mm, and 22 +/- 2.2 mm, respectively, in normal, overweight, and obese patients with sacrococcygeal pilonidal disease and 9.1 +/- 3.1 mm, 11.3 +/- 2.6 mm, and 20 +/- 1.8 mm, respectively, in normal, overweight, and obese controls. Sacrococcygeal fat was significantly thicker in normal and overweight patients with pilonidal disease compared with controls with same body mass index (P< 0.01). There were no significant differences in fat thickness between obese patients and obese controls (P > 0.05).
Conclusions:
Sacrococcygeal fat thickness, as a local factor, is closely associated with pilonidal disease.
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