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Sinus pilonidal
Sinus pilonidal : Questions médicales fréquentes
Diagnostic
5
Sinus pilonidal
Diagnostic médical
Imagerie médicale
Sinus pilonidal
Symptômes
Sinus pilonidal
Examen physique
Sinus pilonidal
Symptômes
5
Symptômes
Sinus pilonidal
Sinus pilonidal
Asymptomatique
Prévention
5
Activités sportives
Risque
Traitements
5
Traitement
Sinus pilonidal
Facteurs de risque
5
Facteurs de risque
Obésité
Conditions de travail
Facteurs de risque
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"name": "Comment diagnostique-t-on un sinus pilonidal ?",
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"text": "Le diagnostic repose sur l'examen physique et l'historique médical du patient."
}
},
{
"@type": "Question",
"name": "Des examens d'imagerie sont-ils nécessaires ?",
"position": 2,
"acceptedAnswer": {
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}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent un sinus pilonidal ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent douleur, rougeur, et écoulement de pus dans la région sacrée."
}
},
{
"@type": "Question",
"name": "Le diagnostic peut-il être confondu avec d'autres affections ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut être confondu avec des abcès ou des fistules dans la région."
}
},
{
"@type": "Question",
"name": "Un examen physique est-il suffisant pour le diagnostic ?",
"position": 5,
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{
"@type": "Question",
"name": "Quels sont les symptômes courants d'un sinus pilonidal ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent douleur, gonflement, rougeur et écoulement purulent."
}
},
{
"@type": "Question",
"name": "Le sinus pilonidal peut-il être asymptomatique ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains patients peuvent ne présenter aucun symptôme, surtout au début."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes de complications ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme fièvre et douleur intense peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Comment la douleur se manifeste-t-elle ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur est souvent localisée à la région sacro-coccygienne et peut être aiguë."
}
},
{
"@type": "Question",
"name": "Peut-on observer un écoulement ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un écoulement purulent est fréquent, surtout en cas d'infection."
}
},
{
"@type": "Question",
"name": "Comment prévenir un sinus pilonidal ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène et éviter les vêtements serrés peut aider à prévenir."
}
},
{
"@type": "Question",
"name": "Le rasage peut-il aider à prévenir cette affection ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le rasage régulier de la zone peut réduire le risque de poils incarnés."
}
},
{
"@type": "Question",
"name": "Y a-t-il des habitudes à éviter ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter de rester assis longtemps sur des surfaces dures peut réduire le risque."
}
},
{
"@type": "Question",
"name": "Les activités sportives influencent-elles le risque ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines activités sportives peuvent augmenter le risque de développer un sinus pilonidal."
}
},
{
"@type": "Question",
"name": "Le poids corporel joue-t-il un rôle ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'obésité peut augmenter le risque de développer un sinus pilonidal."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour le sinus pilonidal ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent l'hygiène, les antibiotiques et la chirurgie si nécessaire."
}
},
{
"@type": "Question",
"name": "Quand la chirurgie est-elle recommandée ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est recommandée en cas d'infections récurrentes ou de complications."
}
},
{
"@type": "Question",
"name": "Les antibiotiques sont-ils toujours nécessaires ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, les antibiotiques ne sont prescrits que si une infection est présente."
}
},
{
"@type": "Question",
"name": "Quelles sont les options chirurgicales ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les options incluent l'excision du sinus et la fermeture par suture ou par drainage."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non chirurgicaux ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des soins locaux et des antibiotiques peuvent être utilisés pour les cas légers."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'un sinus pilonidal ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'infection, l'abcès et la formation de fistules."
}
},
{
"@type": "Question",
"name": "Un abcès peut-il se former ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un abcès est une complication fréquente en cas d'infection non traitée."
}
},
{
"@type": "Question",
"name": "Les fistules sont-elles courantes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des fistules peuvent se développer si l'infection persiste."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une infection se manifeste par une douleur accrue, rougeur et écoulement purulent."
}
},
{
"@type": "Question",
"name": "Les complications nécessitent-elles une intervention chirurgicale ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines complications comme les abcès peuvent nécessiter une intervention chirurgicale."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'obésité, les antécédents familiaux et les activités sédentaires."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes sont plus souvent affectés que les femmes par le sinus pilonidal."
}
},
{
"@type": "Question",
"name": "L'âge joue-t-il un rôle dans le développement ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le sinus pilonidal est plus fréquent chez les jeunes adultes, généralement entre 15 et 30 ans."
}
},
{
"@type": "Question",
"name": "Les antécédents de sinus pilonidal augmentent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, avoir des antécédents de sinus pilonidal augmente le risque de récidive."
}
},
{
"@type": "Question",
"name": "Les conditions de travail influencent-elles le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les emplois nécessitant de rester assis longtemps peuvent augmenter le risque."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 29/10/2024
Contenu vérifié selon les dernières recommandations médicales
5 publications dans cette catégorie
Affiliations :
Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
College of Medicine, University of Sulaymaniyah, Sulaymaniyah, Iraq.
Publications dans "Sinus pilonidal" :
5 publications dans cette catégorie
Affiliations :
Vechtaer Institut für Forschungsförderung, VIFF e.V., Vechta, Germany.
Department of Procto-Surgery and Pilonidal Sinus, St. Marienhospital Vechta, Academic Teaching Hospital of the MHH Hannover, Vechta, Germany.
Publications dans "Sinus pilonidal" :
4 publications dans cette catégorie
Affiliations :
Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
College of Medicine, University of Sulaymaniyah, Sulaymaniyah, Iraq.
Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
Publications dans "Sinus pilonidal" :
4 publications dans cette catégorie
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy. milone.marco.md@gmail.com.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Diakonessenhuis, afd. Chirurgie, Utrecht.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
Iraqi Board for Medical Specialities, Sulaimani Center, Sulaymaniyah, Iraq.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Chirurgie, Asklepios Klinik Altona, Hamburg, Deutschland.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Kscien Organization, Hamdi Str., Azadi Mall, Sulaimani, Kurdistan, Iraq; Chara Laboratory, Shahedan Street, Kalar, Kurdistan, Iraq.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Sheffield Clinical Trials Research Unit, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Sheffield Clinical Trials Research Unit, School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, Derby Royal Infirmary, University Hospitals of Derby and Burton, Derby, UK.
Publications dans "Sinus pilonidal" :
3 publications dans cette catégorie
Affiliations :
Department of Oncology and Metabolism, Medical School, University of Sheffield, Sheffield, UK.
Publications dans "Sinus pilonidal" :
2 publications dans cette catégorie
Affiliations :
München Klinik Bogenhausen; Center of Coloproctology Essen.
Publications dans "Sinus pilonidal" :
2 publications dans cette catégorie
Affiliations :
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Publications dans "Sinus pilonidal" :
2 publications dans cette catégorie
Affiliations :
Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.
Publications dans "Sinus pilonidal" :
2 publications dans cette catégorie
Affiliations :
Embryos Fertility Center, Battipaglia, Salerno, Italy.
Publications dans "Sinus pilonidal" :
A 43-year-old man presented with a painful itching penile lesion. Examination revealed multiple fistulas with protruding hairs and surrounding induration. The urologist identified them as pilonidal si...
Umbilical pilonidal sinus is a rare diagnosis which is characterized by an inflammatory granulomatous reaction to hair shafts penetrating the epidermis. It is most often seen in adolescent male with a...
A pilonidal sinus (PS) is an acquired disease resulting from recurrent infections and chronic inflammation. A PS involving the sacrococcyx is referred to as a sacrococcygeal PS (SPS). An SPS is a rare...
A systematic search was conducted in the PubMed database covering the period from 1 January 2003, to 28 February 2023. The primary outcome parameters were recurrence and infection. Finally, statistica...
Twenty-seven articles, 54 studies, and 3612 participants were included in this meta-analysis. The recurrence rate following the midline closure (MC) technique was much higher than that of other techni...
There are various surgical treatment options for SPS, including incision and drainage, excision of diseased tissue with primary closure and secondary healing, and minimally invasive surgery. It is sti...
The study aims to determine the survival and recurrence rates of pilonidal sinus disease (PSD) carcinoma....
The data were collected retrospectively by searching the worldwide literature for all reports of carcinoma developing on the background of PSD. The results were presented using Kaplan-Meier curves....
Between 1900 and 2022, 140 cases of PSD carcinoma were published in 103 papers, with follow-up data available in 111 cases. Squamous cell carcinoma constituted 94.6% of the cases (n = 105). The diseas...
Pilonidal sinus carcinoma has a worse prognosis than primary cutaneous squamous cell carcinoma. Poor prognostic factors include advanced-stage disease and poor differentiation....
We investigated the effectiveness of combining laser treatment with phenol in the management of pilonidal sinus....
We present here a retrospective analysis of patients with pilonidal sinus disease who were treated in the general surgery clinic of the Balikesir University Hospital between October 2019 and February ...
Recurrence was observed in three patients (13.6%) in the laser treatment group and one patient (4.8%) in the laser-phenol treatment group after the fourth month. Notably, 22 (91.7%) patients in the la...
Although not statistically significant, the laser-phenol treatment group exhibited a lower recurrence rate and a higher complete healing rate....
This study was aimed at investigating the effect of sinus removal combined with vacuum-assisted closure in the treatment of sacrococcygeal pilonidal sinus. From January 2019 to May 2022, 62 patients w...
Pilonidal disease is classically treated with wide local excision, although a number of minimally invasive approaches are currently under investigation. We aimed to determine the safety and feasibilit...
Laser ablation provides a minimally invasive means of obliterating pilonidal sinus tracts without a need for excessive tract dilation. Laser ablation can be performed more than once on the same patien...
This technique uses the NeoV V1470 Diode Laser (neoLaser Ltd, Caesarea, Israel) with a 2-mm probe. We performed laser ablation in adults and pediatric patients....
We performed 27 laser ablation procedures in 25 patients, with a median operative time of 30 minutes. Eighty percent of patients reported either no pain or mild pain at the 2-week postoperative visit....
Laser ablation of pilonidal disease is safe and feasible. Patients experienced short recovery time and reported low levels of pain and high levels of satisfaction....
The treatment of sacrococcygeal pilonidal disease (SPD) is still challenging. Although many non-surgical and surgical methods exist, no consensus has been reached on the best treatment. This study aim...
There are only rough estimates of the worldwide incidence of pilonidal sinus carcinoma. The purpose of the study is to explore the demographic characteristics of this disease and to provide more preci...
The study included questioning the surgeons and pathologists in Germany in addition to a literature research. The literature investigation included all published articles about pilonidal carcinoma in ...
From 1900 to 2022, we found 140 cases of pilonidal sinus carcinoma in 103 articles. The investigation revealed two additional unpublished cases from Germany. The male-to-female ratio was 7.75:1. The c...
Due to underreporting and other causes, the incidence of carcinoma emerging on the background of pilonidal sinus disease is higher than reported....
Patients with pilonidal disease (PD) can present with concurrent draining secondary sinus at the superior gluteal cleft. The natural disease course in the setting of this severe phenotype is poorly ch...
Patients with PD and concurrent secondary sinus who underwent Gips procedure with secondary sinus excision from 2019 to 2023 were prospectively followed. Patient demographics, drainage recurrence, sym...
One hundred and five patients (seventy-one males) with a median age of 17.2 years [interquartile range (IQR):15.4-19.0] underwent excision of their disease and were followed for a median of 367.0 days...
Patients who present with PD in the setting of concurrent secondary sinus have a unique, more severe disease phenotype. Excision can be complicated by recurrent drainage from the secondary sinus site ...