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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
Abstract:
Interdigital pilonidal sinus is a rare occupational disease related to work with short hair. Hair dresser's disease is the interdigital pilonidal sinus encountered in male barbers. A case of pilonidal sinus in the interdigital web is reported. We performed surgical excision and primary closure. There were neither complications nor recurrence in the third month after excision. We propose that surgical excision is inevitable and that any primary treatment can improve the patients' postoperative comfort. Thus, primary closure or closure with a flap, instead of secondary healing, should always be the first choice of treatment for a defect due to excision of an interdigital pilonidal sinus.
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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