Nasal supratip pilonidal sinus: a rare manifestation

Authors

  • Firamir Bin Zulkifli Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Farah Dayana Bintin Zahedi Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Ahmad Bin Nordin Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah
  • Yong Doh Jeing Department of Otorhinolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193890

Keywords:

Pilonidal sinus, Nasal supratip, External rhinoplasty

Abstract

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.

References

Paulose KO, al Khalifa S, Raj SS, Saeed T. Pilonidal sinus of the nose. J Laryngol Otol. 1989;103(12):1210-3.

Sreedharan S, Kamath PM, Hegde MC, Lobo FD. Pilonidal sinus of nose–a diagnostic dilemma. Jurnalul de Chirurgie. 2010;6:343-7.

Junaid M, Ahmed SQ, Kazi M, Ali NS. Pilonidal sinus involving the nasal bridge: a rare manifestation. BMJ Case Rep. 2015;2015: bcr2015209948.

Patey DH Scarf RW. Pathology of post-anal pilonidal sinus: its bearing on treatment. Lancet. 1946;2:484-7.

Patey DH, Scarf RW. Pilonidal sinus in a barber's hand: with observation on post-anal pilonidal sinus. Lancet. 1948;2:13-8.

Brearley R. Pilonidal sinus – a new theory of origin. Br J Surg. 1955;43:62-7.

Karydakis GE. Easy and successful treatment of pilo-nidal sinus after explanation of its causative process. Aust N Z J Surg. 1992;62:385–9.

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Published

2019-08-27