How is Hair Transplantation (Plonidal Sinus) Treated? What are the treatment options?
To date, many different treatment options for pilonidal sinus disease have been developed and developed. Some of them are treated surgically, some are non-surgical methods.
Treatment is determined by the general condition of the patient and the extent of hair turnover.
Sinusotomy technique is used nonoperatively. In surgery; open release, primary closure, flap, caridakis and micro sinusectomy.
Non-surgical Hair Loss Treatment
my Sinüsoto
Pilonidal sinus is a disease usually treated with surgical intervention. In fact, a very large incision was performed in classical operations. However, in sinusotomy technique, the procedure is performed by expanding the hair entry holes without surgical incision.
In the sinusotomy technique, the holes under which the hair enters the skin are opened by surgical incision. By localizing, the hair rotation holes are expanded with radiofrequency device or pouch biopsy. In this way, the sinus can be cleaned without applying the incision.
The inside of the sinus is cleaned with spiral wire brushes and then scraped with curette. Substances such as antibiotics, antiseptics and silver nitrates may be administered locally.
Stitches are not removed after treatment. The wound is closed in the form of dressings. Treatment can be completed in 10-15 minutes in total.
What are the advantages of sinusotomy?
It is an alternative and practical option for those who do not want to have surgery.
With no incision, the patient can return to social life on the same day.
In addition, there is no incision and no disturbing marks.
The wound heals within 10-15 days depending on the size of the sinus.
There is little risk of recurrence.
If it repeats, the process is easy to repeat. (With no loss of tissue)
People with Sinusotomy Treatment
Closed dressings should be preferred because the treated holes are not closed. It should also be ensured that the hairs falling from the back and neck do not reach the coccyx. Otherwise, the hairs pass through the hole under the skin and the problem recurs.
Sinusotomy What are the disadvantages?
Sinustomy technique cannot be applied in advanced hair rotations.
Surgical Hair Loss Treatments
Many different treatments have been tried for hair rotation. The aim is the same in all surgeries. Sinus removal from the body Surgical treatments are divided into two groups: contemporary and classical.
The healing process is long and strenuous due to the large amount of incision in classical treatments. However, in modern techniques developed as an alternative, most of the disadvantages are eliminated because of the small amount of incision.
Open Drop Surgery
It is a treatment in classical surgery. It is also referred to as sinus excision. In this surgery, the sinus and surrounding tissue are completely removed from the right and left of the midline with 2 oval 10-15 cm long incisions. Due to the large amount of incision, too much healthy tissue loss occurs.
Once the sinus is removed by incision, it is not closed with sutures. Instead, it is left open by dressing for self-healing. Pain is high after treatment. It is also necessary to stay in a compulsory admission position for a while.
It should be kept clean and dressed until the wound heals. The closure of a wound of this size covers a period of approximately 5 to 6 months. In other words, there is a maintenance and recovery process for about 6 months after the treatment.
Hospitalization is required for 5-10 days after open cessation surgery. Therefore, it causes labor loss. Furthermore, the risk of infection in this process is very high due to the wound being left open.
Primary Closure Surgery
Logic is the same as open release surgery. However, there are some differences in practice. As in the open-release technique, the sinus circumference is cut out widely. However, in contrast to the open release technique, the incision opened after the procedure is closed by stitching.
As the tissue is removed and the stitch is removed, tension occurs in the region. And tension causes severe pain. Sutures can heal in 15-20 days. However, bed rest is generally recommended for 1 month.
The tension continues after the stitches are removed. Expansion due to tension and infection may occur due to opening. In addition, the risk of recurrence is higher than other treatments. (15%)
Flap Surgery
One of the classical operations is flap surgery. In flap surgery, unlike primary closure, sutures are brought with healthy hairless tissue to prevent tension.
Due to the absence of tension in the wound, the healing process is shorter. Recovery takes about 10-15 days.
Depending on the application of the procedure, surgery is named in different ways. The most commonly used flap surgeries are Limberg flap and Z-plasty.
Limberg flap; the sinus is removed with a diamond-shaped tissue piece and the skin is subcutaneously released (flap) and the opening is closed.
Z-Plast; The sinus is removed ovally with the tissue piece and the triangular skin subcutaneous tissue is released (flap) from the upper and lower ends and the opening is closed, leaving a Z-shaped incision. The recurrence rate in these surgeries is 8-10%.
Karidakis Surgery
It is a similar operation to flap surgery but with differences. Skin shifting is performed in Karidakis surgery.
In Karidakis surgery, the incision is made from the side, not from the middle line. Slightly cut the skin of the opposite side of the suture is slid in that way.
It is easier and less scarring than flap surgery. The healing process is shorter compared to classical operations. There is also less post-procedure pain.
Microsinusectomy Surgery
Microsinusectomy is a modern treatment technique that has a very low incision rate as an alternative to classical surgeries.
The aim is to remove hair rotation from the body with minimum incision. In this way, healthy tissues are not damaged, the healing process is shortened and visually undesirable results do not occur.
A 2 * 2 incision is sufficient for microsinusectomy. It can be applied practically under local anesthesia. The incision is closed with hidden and absorbable sutures. In this way, no trace.
Due to the low incision, the pain is very mild after the procedure. In addition, thanks to a practical procedure, the patient can return to daily life after resting for half an hour after surgery. Thus, treatment can be completed without loss of labor.
In classical surgeries, the amount of incision is very high and labor loss is high. However, there is no loss of labor in contemporary and non-surgical techniques. In addition, too much healthy tissue loss occurs in classical methods.
19AXX
Xlear Nasal Spray for Sinus Relief 1.5 fl oz
