Clinical Case Study: Pilonidal Sinus in the Eyebrow Region with Associated Bridging Scar

Background

Pilonidal sinus is primarily known to occur in the sacrococcygeal region, with facial cases being exceptionally rare. The occurrence of pilonidal sinus in the eyebrow region, particularly with bridging scar formation, has not been previously documented.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

• First reported case of pilonidal sinus in the eyebrow region with a 29-year history.
• Patient presented with swelling and intermittent drainage following trauma.
• Physical examination revealed subcutaneous induration and a bridging scar.
• Surgical excision and flap transfer were performed, followed by tissue expander placement and Z-plasty revision.
• Postoperative treatment included intralesional injections of triamcinolone acetonide and fluorouracil.
• At one-year follow-up, significant improvement was noted with no recurrence.

Clinical Implications

A staged surgical approach combined with adjuvant therapy can lead to satisfactory functional and aesthetic outcomes.

Conclusion

The documentation of this unique case underscores the rarity of facial pilonidal sinus and the potential for effective surgical management in such challenging cases.

Related Resources & Content

1. Author(s)/Org, Source, Year -- Title
2. Updates in Surgery — Pilonidal Sinus: A Comprehensive Review of Historical and Contemporary Treatment Approaches
3. Frontiers in Medicine — A missed case of a large occult intraorbital branch foreign body caused by tree branch laceration: case report
4. the ophthalmologist — Bridging Structure and Biology in Eyelid Reconstruction
5. Techniques in Coloproctology — Fibrin Glue: A Rapid and Effective Solution for Managing Primary and Recurrent Pilonidal Sinus Disease
6. Pilonidal Sinus: A Comprehensive Review of Historical and Contemporary Treatment Approaches
7. S3-Leitlinie – Sinus pilonidalis, Version 3.0
8. Frontiers | Case Report: Eyebrow pilonidal sinus with bridging scar
9. A systematic review and meta-analysis of sinus laser associated closure (SiLaC) versus endoscopic pilonidal sinus treatment (EPSiT) in the management of pilonidal sinus disease | Langenbeck's Archives of Surgery | Springer Nature Link