Özet:

Purpose: Pilonidal sinus disease is high in the young population and there are still serious differences in treatment. In addition to the operational techniques, non-operative methods are also applied and phenol injection is the most commonly used in these methods. Although the surgical method is the only option in complicated pilonidal sinus cases, phenol treatment in non-complicated cases can be an important alternative. Materials and Methods: In our study, phenol treatment was applied to 18 women and 64 patients, and the 6 month follow-up results were retrospective. Patients' age, gender, phenol post-application complications of the wound place and nickness rates were recorded. The findings: The findings obtained as a result of 6 months of patients followings found that 3 patients (4.6%) had phenole-related skin exfoliation. 4 patients (6.2%) developed apse and hematoma in the wound site after the treatment, after drenage, antibiotic therapy was given and surgery was planned. In a total of 6 (9.3%) patients were found to develop nuts during follow-up. These patients were subjected to total cyst ejaculation and primary repair. The result: it can be applied from foot to patients, minimal invasive formation and faster return to everyday tasks are the advantages of the crystallized phenol method. In the treatment of Pilonidal sinus disease, especially in non-complicated primary cases, we believe that it would be appropriate to use crystallized phenol therapy as the first treatment option. Keywords; Pilonidal sinus disease; Kristalized phenol treatment; Nüks ABSTRACT Objective: Pilonidal sinus disease is common in young population and there is considerable controversy about its treatment. Operative techniques as well as non-operative methods are being used in the treatment and phenol injection is most widely used non-operative technique. Although surgery is only option in complicated pilonidal sinus disease, phenol treatment can be an important alternative in uncomplicated cases. Material and Method: In our study, we treated 64 patients (18 women) by phenol therapy and retrospectively reviewed results of 6-month follow-up. In all patients, age, gender, wound site complications and recurrence rate were recorded. Findings: It was found that there was cutaneous exfoliation caused by phenol in 3 patients (4.6%). In 4 patients (6.2%), abscess and hematoma was developed at wound site and surgical therapy was scheduled following drainage and antibiotic therapy. Overall, recurrence was observed in 6 patients (9.3%) during 6-month follow-up. Cyst excision and primary repair was performed in these patients. Conclusion: Crystallized phenol has several advantages including being a minimal invasive method, no requiring admission and rapid return to daily activities. We think that crystallized phenol treatment can be used as first-line therapy in pilonidal sinus, in uncomplicated, primary cases. Application of crystallized phenol in the treatment of Pilonidal sinus disease; Single-center experience Keywords; Pilonidal sinus disease; Crystallized phenol treatment; Recurrence