Ingrown Hair Treatment
Sinus pilonidalis, which is popularly called ingrown hair, is seen on the coccyx. This occurs when the hairs that settle in the groove between the two gluteal folds enter the skin with the sawing movement during walking and create an infection by forming a false capsule here. It is also called Jeep disease because it is mostly seen in those who sit for long periods of time. Hair, hair or foreign objects that enter the skin tissue in the coccyx accumulate under the skin over time. A false capsule forms around it. In this capsule, the body accumulates fluid. This fluid becomes infected and abscessed. Such patients have swelling and severe pain in the coccyx. Later, the abscess is opened and flows and various holes are formed in that area. It causes wetness and itching in the anus. In this case, classic ingrown hair has occurred.
Where is ingrown hair seen?
Hair return is 90-95% seen in the coccyx. Occasionally, it can also be seen in the navel and under the armpits. It is mostly seen in men. It peaks between the ages of 15-40. It is more likely to be seen in people with excess hair density and overweight. It is more common in those who work by sitting for a long time (driver, student, etc.). Since women’s skin is sensitive, hair strands, dust on clothes, and fluff can cause ingrown hairs.
Patients have a foul odor and discharge in the breech region. There is swelling and pain in the coccyx. In some cases, one or more holes can be seen in the coccyx.
Currently, microsinusectomy is performed in suitable cases for treatment. In this method, patients can return to work on the same day. While the recurrence rate is up to 40% in classical methods, it does not exceed 5% in this method. It is operated in a very small area and the damage to the patient is minimal. Since very little tissue is removed, no dead space is left behind.
Curiosities About Hair Rotation and Its Treatment
Will it recur? What Precautions Should Be Taken?
Hair loss may recur. The treatment method to be chosen should be determined according to the degree of difficulty of the disease. In this, the experience of the surgeon is also important.
What is the Post-Operation Process?
After the operation, the patient can return to work immediately. Daily life is not disrupted.
What Is Its Most Distinctive Feature?
It is more common in those who work sitting, those who are fat, and those who are very hairy. These should be avoided.
Is It Possible to Prevent Hair Rotation?
The most prominent feature is the constant discharge and pain in that area.
Factors that increase the risk of ingrown hairs
It is more likely to occur in those who do not pay attention to hygiene, those who sweat excessively, and those who sit constantly.
The procedure is performed under local anaesthesia. As a result, complications seen in spiral anesthesia are not observed. The patient does not need to stay in the hospital for 5-6 hours. There is no need to insert a catheter as there is no urine reaction. In addition, hemovac drains used in classical surgeries are not used in these. These patients can return to their daily work as well as take a bath the next day. They can enter the sea and the pool. Several retention sutures are placed so that patients can sit comfortably.