Risk Factors for Pilonidal Sinus Disease in Teenagers.
OBJECTIVE
To investigate the risk factors for pilonidal sinus in teenagers.


METHODS
Between January 2013 and September 2015, 55 teenage patients who underwent surgery due to pilonidal sinus disease (PSD) in the Department of Pediatric Surgery, Sakarya University Teaching and Research Hospital were included in this study. Age, gender, body mass index (BMI), number of baths taken per week, time spent sitting per day, family history, and skin color were examined as risk factors. The control group comprised of healthy teenagers without pilonidal sinus disease.


RESULTS
Out of the total 42 teenagers, 23 (54.8 %) were girls and 19 (45.2 %) were boys. Patients were classified as obese, overweight, or normal according to their BMI (14.3 %, 31 %, and 54.8 %, respectively). The number of baths taken per week in the PSD group was lower than that in the control group [odds ratio (OR): 3.690; p = 0.004]. The family history of PSD was significantly higher in teenagers with PSD, compared to the control group (OR: 8.652; p = 0.005). No differences were detected between the PSD and control groups with respect to sitting for ≥ 6 h per day (OR: 3.212; p = 0.028). Skin color was not found to be affected by PSD in teenagers (OR: 1.294; p = 0.392).


CONCLUSIONS
Heredity and the number of baths taken per week were found to significantly affect the incidence of PSD, whereas other variables (gender, age, BMI, skin color, and time spent sitting per day) did not exhibit any significant influence on the rate of incidence.
Department of Pediatric Surgery, Medical School, Sakarya University, Sakarya, Turkey. tyildiz44@gmail.com.
Turan
T
Yildiz
Department of Pediatrics, Medical School, Sakarya University, Sakarya, Turkey.
Bahri
B
Elmas
Department of Pediatric Surgery, Medical School, Sakarya University, Sakarya, Turkey.
Aysel
A
Yucak
Department of General Surgery, Derince Education and Research Hospital, Kocaeli, Turkey.
Hamdi Taner
HT
Turgut
Department of Pediatric Surgery, Medical School, Sakarya University, Sakarya, Turkey.
Zekeriya
Z
Ilce
D000293:Adolescent; D001494:Baths / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D010864:Pilonidal Sinus / Q000209:etiology* / Q000235:genetics; D012307:Risk Factors
Heredity; Pilonidal sinus disease; Risk factors; Teenage