Nasal supratip pilonidal sinus: a rare manifestation
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Published:2019-08-27
Issue:5
Volume:5
Page:1394
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ISSN:2454-5937
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Container-title:International Journal of Otorhinolaryngology and Head and Neck Surgery
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language:
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Short-container-title:Int J Otorhinolaryngol Head Neck Surg
Author:
Zulkifli Firamir Bin,Zahedi Farah Dayana Bintin,Nordin Ahmad Bin,Jeing Yong Doh
Abstract
<p>Pilonidal sinus is widely associated with disease involving the gluteal cleft. Derived from the Latin word (Pilus=hair; nidus=nest), it was first described by Herbert Mayo in 1833. The pathognomonic finding of the pilonidal sinus is the presence of loose hairs in the sinus tract or cavity. We report a case of a fit middle age policeman who developed an unusual chronic discharging sinus over the tip of the nose. A computed tomography (CT) sinogram showed a localized blind subcutaneous tract over the nose. The course of management is discussed with reference to other reported works of literature. The patient was diagnosed to have a subcutaneous sinus over the tip of the nose with the aid of CT sinogram. Surgery was performed to excised the sinus tract through external rhinoplasty approached. Histopathological examination confirmed a sinus tract lined by keratinized stratified squamous epithelium with a tuft of hair. Patient was follow up for another year with no evidence of recurrence.</p>
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1 articles.
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1. Infrequent Presentation of Pilonidal Sinus over the Nasal Bridge;Indian Journal of Otolaryngology and Head & Neck Surgery;2023-09-02