To report a rare case of pilonidal sinus occurring in the eyebrow region with associated bridging scar formation.
Approach:
Case Presentation: A 56-year-old man presented with a 29-year history of right eyebrow swelling and intermittent drainage following trauma. Surgical excision and reconstruction were performed.
Key Findings:
This is the first reported case of pilonidal sinus in the eyebrow region with bridging scar formation.
Pathology confirmed chronic post-traumatic pilonidal sinus with foreign body giant cell reaction.
Surgical excision and staged reconstruction led to significant improvement in scar appearance and visual field at one-year follow-up.
Interpretation:
This case highlights the need to consider pilonidal sinus in the differential diagnosis of chronic facial lesions.
Limitations:
The rarity of facial pilonidal sinus limits generalizability.
Long-term outcomes beyond one year are not reported.
Conclusion:
Staged surgical reconstruction combined with adjuvant therapy can achieve satisfactory functional and aesthetic outcomes in challenging anatomical areas.
