title: A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique.
abstract: BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). The size of the defect ranged between 3.5 cm and 12 cm in dimension. RESULTS A tension-free defect closure was obtained in all patients. All flaps except one healed with no complications. A mean follow-up of 3.62±1.77 months revealed aesthetically and functionally acceptable results with the obliteration of the natal cleft in all patients. No recurrence was observed in the follow-up period. CONCLUSIONS The triangular closure technique was found to be a useful technique for the treatment of pilonidal sinus with favorable results regarding the time before return to work.
authors.affiliation: Division of Plastic Surgery, Bodrum Acıbadem Hospital, Muğla, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Mutaf
authors.affiliation: Division of Plastic Surgery, Mustafa Kemal University, Hatay, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Temel
authors.affiliation: Division of Plastic Surgery, Gaziantep University, Gaziantep, Turkey.
authors.forename: Mustafa Nihat
authors.initials: MN
authors.lastname: Koç
mesh_terms: D000328:Adult; D002081:Buttocks / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010864:Pilonidal Sinus / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012445:Sacrococcygeal Region / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome