Improving outcomes in XXXX .

@entity1 @entity281 @entity2869 @entity600
BACKGROUND: Optimal surgical treatment for @entity2869 remains controversial. Studies in @entity1 are uncommon with overall high postoperative recurrence and @entity281 rates (20%). Our unit adopted a technique for excision of the @entity2869 with primary midline closure using a full-thickness flap. We present our results of this technique in the pediatric age group. METHODS: Single-center retrospective review and telephone follow-up was performed, including all @entity1 undergoing @entity2869 from 2005 to 2014 using the same operative technique and preoperative/postoperative care. RESULTS: 19 @entity1 were identified. Median age was 15years, and 47% were male. All had previously infected sinuses, with 5 requiring abscess drainage. Median follow-up was 13months (3.5-67months). Histology confirmed @entity2869 in 18/19 cases (one developmental @entity600 excluded from subsequent analysis). Recurrence requiring further surgery occurred in 4/18 (22%) @entity1 at a median of 9months (range 8-36), wound dehiscence in 8/18 (44%), and wound @entity281 in 5/18 (28%) cases. Laser hair removal of the natal cleft was performed in 7/18 (39%) @entity1 with no further recurrence. CONCLUSION: This is the first report of this technique in @entity1 which showed a higher incidence of complications than a comparable adult study. Our study underlines the importance of accurate long-term outcomes when introducing new techniques to evaluate operation-associated morbidity. Our preliminary results of laser hair removal are promising but need to be evaluated with a prospective study.
