Dr. Ertan Beyatlı

How is ingrown hair treated?

(Update: ) - Skin and soft tissue diseases

Ingrown hair can be seen all over the body with hair. It most often happens in the coccyx.

At first, it appears like an ordinary acne or boil and progresses insidiously for a long time. Hair rotation is called pilonidal cyst or sinus in Latin.

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Causes of ingrown hair?

Hair Rotation has become common with the advancement of technology. Hair loss in the coccyx area and skin irritation of the sacral area in desk-top workers cause hair to grow in many people. It used to be more common in men, but nowadays it is also common in women.

There is no known reason for ingrown hairs yet. Obesity, hairy body, buried coccyx and prolonged pressure applied to this area (eg drivers and desk workers) may be among the reasons.

How to recognize ingrown hair?

This disease, which starts in the form of acne, causes swelling, pain and malodorous discharge in the coccyx in the final stages. Sometimes it causes numbness and contraction in the legs. Unfortunately, patients start looking for treatment only at this stage.

At this stage, as seen in the figure above, the hairs and other skin extensions shed from the mouth part of the pouch (cyst) formed in the region are pulled into the sac with the effect of vacuum and cause infection and abscess formation there.

How is it treated?

Most of the time, the mouth of the pouch opens spontaneously and the abscess empties. Of course, the patient also relaxes. This vicious circle continues for years. Patients try to solve this situation with temporary and primitive methods. She applies cream, ties onions, puts herbs.

However, hair rotation is a disease that can be treated with a very simple surgical method at first. In the later stages, very serious surgeries may be required. Unfortunately, 80% of patients only apply for treatment in the later stages.

First of all, it should not be forgotten that hair loss is a disease, acne, acne, inflammation, inflammation, abscess, pus, etc. is not a condition.

Treatment Methods

  • Non-Surgical Methods
    • Phenol Treatment
    • Laser Plionidal Sinus Ablation
  • Surgical Methods
    • Micro Sinusectomy
    • Open Surgery
    • Closed Surgery (Flap)

Patients often seek medical support in the late stages. This situation causes recurrence of the disease and a decrease in the quality of life of the patient and psychological problems.

In order to avoid such negative situations, patients should be in consultation with their physicians before the treatment and get detailed information about the treatment method to be performed.

In phenol treatment method local anesthesia At the bottom, crystallized phenol is applied to the Array area. It is used especially in the first stage and in uncomplicated cases. The recurrence rate is high in treatments performed with this method.

In recent years leisure treatment is done. However, this method is not valid for every patient. Inhalation in the early stages and especially abscess and more successful results can be obtained in cases where there is no infection. Surgical method can be used in recurrent cases.

Hair Rotation Surgery

In the past, surgeons used to completely remove the ingrown area and continue dressing as an open wound.Open surgery). In this case, the wound healing time was very long (4-8 months) and the risk of recurrence (recurrence) was high. Wound edges can be folded inward and sewn to speed up half healing and this method is used as "Marsupialization(Cf. Surgical stitches)

marsupialization, macipulazation

Recurrence rate was 50% in operations performed with old methods (10 out of 5 patients). Today, these methods are still applied by many surgeons.

Primary excision surgery is a type of surgery that is usually performed in the first stages of ingrown hair. In this surgery, the area of ​​ingrown hair is removed with a small diamond-style incision (elliptical incision) and the remaining normal tissue is sutured by approximation. When this method is applied in the later stages of ingrown disease, the risk of recurrence is almost inevitable.

Micro Sinusectomy method is another type of primary excision. In this method, a small incision (1-2 cm) is removed together with the capsule surrounding the acne area.

With the application of flap (patch) methods, this rate has been drastically reduced. In recent years flap reversal Recurrence was observed only in 100-5 of 10 patients who underwent surgery with (patch) (5-10%).

Many surgical methods have been developed to shift or lose the midline groove in the coccyx region. Patch (flap = flap) is applied in almost all of these methods. Flap application is the transfer of clean skin and subcutaneous tissue taken from the hip area to this area. The success and postoperative recurrence rate of flap application depends on the experience and method of the surgeon.

The most important purpose of the surgery to be performed in cases of progressive hair growth is to shift or completely lose the midline groove in the coccyx (sacral) region. Thus, the chance of recurrence will be very low.

Modified-limberg-flap Ertan BEYATLI's Flap

The method we have been applying since 2006 is a different version of Limberg-Rohmboid Flap surgery (Modified BEYATLI's Flap). The most important modification in this method was to completely shift the midline pit in the hip (gluteal) region sideways and to adapt the incision line to the region in a neutral and tension-free manner.

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