Effectiveness of Phenol Application in Pediatric Pilonidal Sinus

Authors : Caner İSBİR, İsa KILLI, Hakan TAŞKINLAR, Ali NAYCI

Pages : 516-522

Doi:10.31067/acusaglik.1261052

View : 79 | Download : 131

Publication Date : 2023-10-01

Article Type : Research Paper

Abstract :Purpose: Phenol application is an increasingly popular method in the treatment of pediatric pilonidal sinus because of its ease of use. However, there has been insufficient research on standards for phenol application in children. This study aimed to determine standards for evaluating phenol applications to identify parameters that can be used in treatment planning. Methods: Pediatric patients with pilonidal sinus who underwent surgical excision and/or phenol injection between January 2011 and January 2021 were evaluated retrospectively. Data related to the patients’ age, sex, treatment method insert ignore into journalissuearticles values(phenol, surgery);, number of phenol applications, preoperative complications and antibiotic use, postoperative complications, and treatment duration were analyzed. Results: The study included 57 patients, 34 boys insert ignore into journalissuearticles values(59.6%); and 23 girls insert ignore into journalissuearticles values(40.3%);, with a mean age of 15.15±1.62 years insert ignore into journalissuearticles values(range: 11-18);. Number of phenol applications and postoperative complications were significantly higher in patients with prolonged preoperative antibiotic use insert ignore into journalissuearticles values(>2 weeks); and preoperative complications insert ignore into journalissuearticles values(p<0.05);. Length of hospital stay, wound dressing duration, and time to return to daily routine were significantly shorter in the phenol application group insert ignore into journalissuearticles values(p<0.001);. Treatment duration and frequency of postoperative complications did not differ among the treatment groups insert ignore into journalissuearticles values(p˃0.05);. Conclusion: This study suggest that phenol application is not superior to surgical treatment in terms of postoperative complications or treatment duration. The potential negative impact of prolonged preoperative antibiotic use and preoperative complications on the treatment process should be considered when deciding to use phenol for the treatment of pilonidal sinus.
Keywords : Children, phenol application, pilonidal sinus, complications