Pilonidal sinusPPilonidal sinusPilonidal sinusEnglishDermatologyTeen (13-18 years)Buttock;SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto, RN (EC)/ET;Theresa Allan, RN/ET;Sharifa Himidan, MD​7.0000000000000068.0000000000000773.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn what causes a pilonidal sinus and how it can be treated.</p><h2>What is a pilonidal sinus?</h2><p>A pilonidal sinus is a painful abscess that occurs near the top of the buttocks. It occurs when body hair is forced into the skin by friction and the area becomes infected. </p><p>It is most common in teen boys, but teen girls can get it too. A doctor will diagnose a pilonidal sinus after examining your child and asking them questions.</p> <figure> <span class="asset-image-title">Pilonidal sinus</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pilonidal_sinus_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A pilonidal sinus is formed when hair is forced into the skin and the area becomes infected. The sinus appears as a small opening above the buttocks. The skin around the opening may appear red and swollen.</figcaption> </figure><h2>Key points</h2> <ul> <li>A pilonidal sinus is an abscess near the top of the buttocks that occurs when hair is forced into the skin and the area becomes infected. It is more common in boys.</li> <li>Usually your child will need surgery to open the abscess, drain the pus and remove the hair from the area. This will relieve the infection and help to relieve any pain.</li> <li>Your child's wound should be cleaned and packed every day until it heals. You will get instructions for this.</li> <li>Call your surgeon's office if your child has a fever or is vomiting or if there is more pain, redness, pus or swelling around the wound.</li> </ul><h2>Treating the abscess</h2> <p>Usually your child will need surgery (an operation) to open the abscess, <a href="/Article?contentid=37&language=English">drain the pus</a> and remove the hair from the area. In most cases, the operation is a day procedure. This means that your child does not need to stay in the hospital overnight. </p> <p>The abscess can sometimes drain on its own, but it will come back as long as hair is in the skin cavity. Removing hair from the area will relieve the infection and help relieve the pain. </p> <h2>During the surgery </h2> <p>Your child will be taken to the operating room and placed under a general anaesthetic. This will make sure they sleep through the operation and do not feel any pain. </p> <p>The surgeon will open the cavity and, in most cases, clean it out. Your child's wound will be left open to allow it to heal from the inside. Sometimes this wound can be large. </p> <p>Your child will usually stay a short while in the hospital before going home later the same day.</p><h2>When to call a doctor </h2> <p>Call the surgeon's office if: </p> <ul> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a> of 38°C (100°F) or higher</li> <li>there is increased pain, redness, swelling or drainage around the wound</li> <li>there is pus or a foul odour (bad smell) from the wound</li> <li>the wound is bleeding</li> <li>your child is <a href="/Article?contentid=746&language=English">vomiting</a> (throwing up), especially when taking medications.</li> </ul>
Sinus pilonidalSSinus pilonidalPilonidal sinusFrenchDermatologyTeen (13-18 years)Buttock;SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto, RN (EC)/ET;Theresa Allan, RN/ET;Sharifa Himidan, MD​7.0000000000000068.0000000000000773.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Apprenez ce qui cause le sinus pilonidal et comment celui-ci peut être traité.</p><h2>En quoi consiste le sinus pilonidal?</h2><p>Le sinus pilonidal est un abcès douloureux qui se forme près du sommet du pli des fesses. Il se forme lorsqu’un poil corporel est enfoncé dans la peau (poil incarné) sous l’effet de la friction et que la région touchée devient infectée. Le sinus pilonidal se manifeste le plus souvent chez les adolescents, quoique les adolescentes puissent aussi en être atteintes. Pour en établir le diagnostic, le médecin examinera votre enfant et lui posera des questions.<br></p> <figure> <span class="asset-image-title">Sinus pilonidal</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pilonidal_sinus_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Un kyste ou sinus pilonidal se forme quand un poil pousse sous la peau et que la zone s’infecte. Il prend la forme d’une petite cavité au-dessus des fesses. Autour de la cavité, la peau peut être rouge et enflée.</figcaption> </figure><h2>​À retenir</h2> <ul> <li>​Le sinus pilonidal est un abcès qui se forme près du sommet du pli des fesses. Il survient lorsqu’un poil corporel est enfoncé dans la peau (poil incarné) sous l’effet de la friction et que la région touchée devient infectée. Le sinus pilonidal est plus fréquent chez les garçons.</li> <li>En règle générale, le traitement se fait par chirurgie. Celle-ci consiste à percer l’abcès, à drainer le pus et à retirer le poil de la région. Cela permet de réduire l’infection et de soulager la douleur.</li> <li>Vous devrez laver et panser la plaie de votre enfant tous les jours jusqu’à ce qu’elle se referme. On vous donnera des instructions à ce sujet.</li> <li>Communiquez avec le cabinet de votre chirurgien si votre enfant présente une fièvre, s’il vomit ou si la douleur, les rougeurs, le pus ou l’enflure autour de la plaie augmente.​​​​​</li> </ul> <h2>Traitement de l’abcès</h2> <p>En règle générale, le traitement se fait par chirurgie. Le chirurgien perce l’abcès, en draine le pus et retire le poil de la région touchée. Dans la plupart des cas, il s’agit d’une chirurgie d’un jour, ce qui signifie que votre enfant n’aura pas à passer la nuit à l’hôpital. L’abcès peut parfois se vider de lui-même, mais il réapparaîtra tant qu​e le poil se trouve dans la cavité de la peau. Le fait de le retirer de la région touchée permettra de réduire l’infection et de soulager la douleur.</p> <h2>Pendant la chirurgie</h2> <p>​​​On amènera votre enfant à la salle d’opération. Il y recevra une anesthésie générale pour qu’il dorme pendant toute l’intervention et ne ressente aucune douleur. La chirurgie consiste à ouvrir la cavité et, dans la plupart des cas, à la vider. La plaie, qui est parfois de grande taille, reste ouverte pour permettre sa cicatrisation de l’intérieur vers l’extérieur. L’opéré reste habituellement à l’hôpital quelque temps puis rentre à domicile le jour même.</p><h2>Quand communiquer avec un médecin</h2> <p>Communiquez avec le cabinet de votre chirurgien :</p> <ul> <li>si votre enfant présente une fièvre (température de 38 °C (100 °F) ou plus)</li> <li>si la douleur, les rougeurs, l’enflure ou l’écoulement autour de la plaie augmentent</li> <li>si la plaie est purulente ou dégage une odeur nauséabonde (mauvaise odeur)</li> <li>si la plaie saigne</li> <li>si votre enfant vomit, surtout après avoir pris ses médicaments</li> </ul>

 

 

Pilonidal sinus771.000000000000Pilonidal sinusPilonidal sinusPEnglishDermatologyTeen (13-18 years)Buttock;SkinSkinConditions and diseasesCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto, RN (EC)/ET;Theresa Allan, RN/ET;Sharifa Himidan, MD​7.0000000000000068.0000000000000773.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn what causes a pilonidal sinus and how it can be treated.</p><h2>What is a pilonidal sinus?</h2><p>A pilonidal sinus is a painful abscess that occurs near the top of the buttocks. It occurs when body hair is forced into the skin by friction and the area becomes infected. </p><p>It is most common in teen boys, but teen girls can get it too. A doctor will diagnose a pilonidal sinus after examining your child and asking them questions.</p> <figure> <span class="asset-image-title">Pilonidal sinus</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_pilonidal_sinus_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A pilonidal sinus is formed when hair is forced into the skin and the area becomes infected. The sinus appears as a small opening above the buttocks. The skin around the opening may appear red and swollen.</figcaption> </figure><h2>Key points</h2> <ul> <li>A pilonidal sinus is an abscess near the top of the buttocks that occurs when hair is forced into the skin and the area becomes infected. It is more common in boys.</li> <li>Usually your child will need surgery to open the abscess, drain the pus and remove the hair from the area. This will relieve the infection and help to relieve any pain.</li> <li>Your child's wound should be cleaned and packed every day until it heals. You will get instructions for this.</li> <li>Call your surgeon's office if your child has a fever or is vomiting or if there is more pain, redness, pus or swelling around the wound.</li> </ul><h2>Treating the abscess</h2> <p>Usually your child will need surgery (an operation) to open the abscess, <a href="/Article?contentid=37&language=English">drain the pus</a> and remove the hair from the area. In most cases, the operation is a day procedure. This means that your child does not need to stay in the hospital overnight. </p> <p>The abscess can sometimes drain on its own, but it will come back as long as hair is in the skin cavity. Removing hair from the area will relieve the infection and help relieve the pain. </p> <h2>During the surgery </h2> <p>Your child will be taken to the operating room and placed under a general anaesthetic. This will make sure they sleep through the operation and do not feel any pain. </p> <p>The surgeon will open the cavity and, in most cases, clean it out. Your child's wound will be left open to allow it to heal from the inside. Sometimes this wound can be large. </p> <p>Your child will usually stay a short while in the hospital before going home later the same day.</p><h2>Taking care of the wound</h2> <p>Your child's wound should be cleaned and packed (dressed with a bandage or other material) every day using the numbered steps below. The hospital will give you detailed instructions and, if needed, will arrange for a homecare nurse to help you and your child.</p> <ol> <li>Consider having your child take some pain medication an hour before the dressing is changed. This will make it more comfortable.</li> <li>Gather the dressing supplies before the wound is cleaned. This will let you dress it immediately afterwards. Several types of packing and dressing material are available for these wounds. Be sure to get specific instructions for the materials you will use.</li> <li>Once you remove the old dressing, the wound can be cleaned while your child is showering or bathing.</li> </ol> <p>The wound must be cleaned and dressed until it heals completely. You will have appointments to see the surgeon to check how your child's wound is healing and might receive different care instructions during these appointments.</p> <h3>Vacuum assisted closure</h3> <p>Some children may need a special type of dressing called vacuum assisted closure (VAC). This is a dressing that is attached to your child's wound with a device that makes sure the wound is completely sealed.</p> <p>This type of dressing is usually changed twice a week by a nurse who comes to your home. Your surgeon will tell you if your child needs this. </p> <h2>Life after surgery</h2> <h3>Activities </h3> <p>Your child can continue doing all their usual activities after surgery.</p> <h3>Medicine </h3> <p>Your child is usually prescribed <a href="/Article?contentid=1120&language=English">antibiotics</a> after the abscess is drained. Sometimes they are also prescribed <a>pain medicine</a>. Please get the prescriptions filled and follow any medicine instructions carefully.</p> <h3>Returning to school </h3> <p>Your child should be able to return to school once they feel able.</p><h2>When to call a doctor </h2> <p>Call the surgeon's office if: </p> <ul> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a> of 38°C (100°F) or higher</li> <li>there is increased pain, redness, swelling or drainage around the wound</li> <li>there is pus or a foul odour (bad smell) from the wound</li> <li>the wound is bleeding</li> <li>your child is <a href="/Article?contentid=746&language=English">vomiting</a> (throwing up), especially when taking medications.</li> </ul><h2>Long-term effects of pilonidal sinus</h2> <p>Sometimes a pilonidal sinus can return, even after it is removed during surgery. Some people consider laser hair removal as a way to prevent future sinuses.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_pilonidal_sinus_EN.jpgPilonidal sinus

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