Lukish Jeffrey R, Kindelan Tamara, Marmon Louis M, Pennington Mark, Norwood Chris
Department of General Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
J Pediatr Surg. 2009 Jan;44(1):282-5. doi: 10.1016/j.jpedsurg.2008.10.057.
Pilonidal disease (PD) is a frustrating condition because of a recurrence rate as high as 30%. Hair insertion is the essential cause of the disease. Therefore, hair removal with shaving is a part of many postoperative regimens. These methods are resource intensive and adversely impact the life-style of both patient and family. Therefore, we investigated the use of laser epilation (LE) of the intergluteal hair in adolescents with PD as a method of permanent hair removal.
A retrospective review of all patients with PD who underwent LE from 2003 to 2006 at the National Naval Medical Center, Bethesda, Md, and Walter Reed Army Medical Center, Washington, DC, was performed. Laser epilation of the intergluteal hair was carried out with a 1064 nm Nd:YAG laser (Coolglide Vantage, Altus/Cutera, Brisbane, Calif) at a standard fluence (joule/square centimeter), pulse duration, and repetition rate based on skin phototype. The patients were observed for hair regrowth and recurrence.
Twenty-eight teenagers (17 males, 11 females; mean age, 17.2 +/- 1.4 years) underwent LE. Eight patients presented with abscess and were managed by incision and drainage followed by excision and open wound management, 17 patients presented with a cyst or sinus and underwent excision and primary closure, and 3 patients with asymptomatic sinus were managed nonoperatively. Laser epilation was performed after complete wound healing or immediately in those patients with asymptomatic sinus disease. Laser epilation was well tolerated and without complication in all patients. Intergluteal hair was completely removed in all patients. Patients required an average of 5 +/- 2 LE therapy sessions for hair removal. All patients underwent at least 3 LE sessions (range, 3 to 7 sessions) at 4-week intervals. One female developed a recurrence. The mean follow-up for the group was 24.2 +/- 9.9 months.
Laser epilation is a safe method to remove intergluteal hair in teenagers with PD. This technique is an effective adjunctive therapy for the treatment of PD that may reduce recurrence.
藏毛疾病（PD）是一种令人困扰的病症，因为其复发率高达30%。毛发内生是该疾病的根本原因。因此，剃须脱毛是许多术后治疗方案的一部分。这些方法资源消耗大，对患者及其家庭的生活方式都有不利影响。因此，我们研究了对患有PD的青少年进行臀间毛发激光脱毛（LE）作为一种永久性脱毛方法的应用。
对2003年至2006年期间在马里兰州贝塞斯达的国家海军医疗中心以及华盛顿特区的沃尔特·里德陆军医疗中心接受LE治疗的所有PD患者进行回顾性研究。使用1064纳米掺钕钇铝石榴石激光（Coolglide Vantage，Altus/Cutera，加利福尼亚州布里斯班）根据皮肤光型以标准能量密度（焦耳/平方厘米）、脉冲持续时间和重复频率进行臀间毛发的激光脱毛。观察患者毛发再生和复发情况。
28名青少年（17名男性，11名女性；平均年龄17.2±1.4岁）接受了LE治疗。8例患者出现脓肿，通过切开引流，随后进行切除和开放伤口处理；17例患者出现囊肿或窦道，接受了切除和一期缝合；3例无症状窦道患者进行了非手术治疗。在伤口完全愈合后或对无症状窦道疾病患者立即进行激光脱毛。所有患者对激光脱毛耐受性良好，无并发症。所有患者的臀间毛发均被完全去除。患者平均需要5±2次LE治疗疗程来脱毛。所有患者均接受了至少3次LE疗程（范围为3至7次疗程），间隔4周。1名女性出现复发。该组的平均随访时间为24.2±9.9个月。
激光脱毛是去除患有PD的青少年臀间毛发的一种安全方法。该技术是治疗PD的一种有效辅助疗法，可能会降低复发率。
