{"id":4628,"date":"2023-02-10T18:05:32","date_gmt":"2023-02-10T16:05:32","guid":{"rendered":"https:\/\/old.cosmeticdermamedicine.gr\/?post_type=services&p=4628"},"modified":"2023-04-05T16:08:06","modified_gmt":"2023-04-05T13:08:06","slug":"pilonidal-cyst","status":"publish","type":"services","link":"https:\/\/old.cosmeticdermamedicine.gr\/en\/pilonidal-cyst","title":{"rendered":"Pilonidal Cyst"},"content":{"rendered":"\n
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\n \n \n Dr. Ioannis Dalianoudis <\/span>\n \n \n Plastic Surgeon <\/span>\n \n <\/div>\n \n
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“It used to be considered a congenital disease, but today the prevailing theory is that of acquired growth, where the trapping of hairs in a deep and hairy middle gluteal fissure under stressful conditions (e.g. vehicle drivers), leads to intermittent and chronic fistula formation,” says Dr. Ioannis Dalianoudis, Plastic Surgeon and Scientific Director of Advanced Plastic Surgery.<\/p>\n <\/div>\n \n \n

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\n Causes <\/h2>\n \n \n \n
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The most basic cause of Pilonidal Cyst appearance has been shown to be essentially the fact that the hair “turns” inwards, resulting in inflammation and cyst formation.<\/p>\n

The disease can manifest as a simple cyst, abscess or complex with multiple pores. The most common clinical manifestation is a painful inflammatory mass in the sacrococcygeal area with accompanying mild cellulitis often with the presence of stomata (pits). The disease rarely extends into the anus.<\/p>\n

If an abscess develops (the cause of which is polymicrobial), drainage through an eccentric incision and cleansing of all hairs is required. Changes are required, dermal baths with topical antiseptics and shaving the area for 3 months; these will cure the disease in 60-70% of cases.<\/p>\n

Rarely, chronic recurrent disease leads to the development of carcinoma (squamous cell carcinoma) requiring wide en block excision with fascia and biopsy of swollen lymph nodes followed by radiotherapy, with poor prognosis.<\/p>\n <\/div>\n \n \n

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\n Symptoms <\/h2>\n \n \n \n
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Among the symptoms, in addition to inflammation (pus within the cyst), there is also:<\/strong><\/p>\n