Kılıç Ayten Başak, Muti Acar Merve Nur, Kılıç Sinan, Ekingen Gülşen
Department of Pediatric Surgery, Elite Medical Center, Doha, Qatar.
Department of Pediatric Surgery, Private Ilgi Medical Center, Gebze, Türkiye.
Front Pediatr. 2025 May 19;13:1595749. doi: 10.3389/fped.2025.1595749. eCollection 2025.
Pilonidal sinus disease (PSD) is chronic condition predominantly affecting adolescents, often associated with risk factors such as obesity, poor hygiene, and prolonged sitting. Minimally invasive treatments like phenol procedure have gained attention as alternatives to traditional surgical methods due to their simplicity and potential for shorter recovery. This study aims to evaluate the efficacy and safety of phenol procedure in adolescents with pilonidal sinus, focusing on success rates, recurrence, and complications.
Total number of 28 adolescent patients with non-complicated PSD were included in this retrospective study.
This study included 28 adolescent patients (mean age: 15.04 ± 1.40 years), of which 60.7% were female. A total of 46.4% of the patients presented with a single sinus opening, while 53.6% had multiple sinus openings. Phenol procedure was administered with a mean of 3.32 ± 1.49 courses, resulting in complete healing in 75.0% of patients and an overall success rate of 82.1% after pre- or post-surgical procedure. Complications were observed in 14.3% of cases, while recurrence occurred in 21.4%. Persistent discharge was reported in 7.1% of patients, necessitating surgical excision.
Our findings support that phenol treatment is a safe and effective minimally invasive approach for managing pilonidal sinus, demonstrating success rates comparable to conventional surgical methods. Furthermore, phenol procedure offers notable advantages, including preservation of tissue integrity, ease of implementation, and reduced recovery times, rendering it particularly advantageous for adolescent patients.
藏毛窦疾病（PSD）是一种主要影响青少年的慢性疾病，常与肥胖、卫生条件差和久坐等危险因素相关。像苯酚治疗这样的微创治疗方法因其操作简单和恢复时间可能较短，作为传统手术方法的替代方案而受到关注。本研究旨在评估苯酚治疗青少年藏毛窦的疗效和安全性，重点关注成功率、复发率和并发症。
本回顾性研究纳入了28例无并发症的青少年PSD患者。
本研究包括28例青少年患者（平均年龄：15.04±1.40岁），其中60.7%为女性。共有46.4%的患者有单个窦口，而53.6%有多个窦口。苯酚治疗平均进行3.32±1.49个疗程，75.0%的患者实现完全愈合，术前或术后总体成功率为82.1%。14.3%的病例观察到并发症，复发率为21.4%。7.1%的患者报告有持续排液，需要手术切除。
我们的研究结果支持苯酚治疗是一种安全有效的微创方法来治疗藏毛窦，其成功率与传统手术方法相当。此外，苯酚治疗具有显著优势，包括保留组织完整性、易于实施和缩短恢复时间，使其对青少年患者特别有利。
