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Rare occupational disease of hair dressers: interdigital pilonidal sinus

A Cagri Uysal1, Hakan Orbay, Muhammet Uraloglu

  • 1Department of Plastic, Reconstructive and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School, Japan. cagriuysal@hotmail.com

Insights

Interdigital pilonidal sinus, a rare occupational disease in barbers, requires surgical excision. Primary closure after surgery offers better patient comfort and prevents recurrence.

Area of Science:

  • Dermatology
  • Occupational Medicine
  • Surgical Pathology

Background:

  • Interdigital pilonidal sinus is a rare occupational condition primarily affecting individuals working with short hair, such as barbers.
  • Often termed "hair dresser's disease," it specifically refers to this condition occurring in the interdigital spaces of male barbers.

Observation:

  • This report details a specific case of pilonidal sinus located within the interdigital web.

Findings:

  • Surgical excision followed by primary closure was performed on the affected interdigital pilonidal sinus.
  • The patient experienced no complications or recurrence of the condition by the third month post-excision.

Implications:

  • Surgical excision is presented as an inevitable treatment for interdigital pilonidal sinus.
  • Primary closure techniques, including flap closure, are recommended over secondary healing to enhance postoperative comfort and minimize recurrence.
  • This approach should be the preferred initial treatment strategy for defects resulting from interdigital pilonidal sinus excision.

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