APSNA Pilonidal Disease Quiz

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1. Which of the following best describes pilonidal disease? *

A true cyst formed from congenital dermal remnants

An inflammatory reaction to hair or debris trapped in the gluteal cleft

A fungal infection of the lower spine

A benign tumor of the sebaceous glands

2. Which population has the highest prevalence of pilonidal disease? *

Older adults aged 60–80

Young adults aged 12–22, especially males

Neonates with sacral dimples

Postmenopausal females

3. What is the approximate recurrence rate of pilonidal disease after initial surgical excision? *

<5%

10%

20%

30–35%

4. Which factor has been identified as independently associated with recurrent pilonidal disease? *

Age under 16

Race

Elevated BMI (³95th percentile)

Treatment type (excision vs. I&D;)

5. Which of the following statements about flap procedures is true? *

They have high recurrence rates but short recovery times

They lower recurrence rates but involve cosmetic alteration and long recovery

They are less invasive than trephination

They eliminate the need for hair removal post-op

6. What is a primary goal of a dedicated Pilonidal Clinic? *

Provide only surgical interventions

Offer cosmetic reconstruction for the cleft area

Deliver standardized, evidence-based care and patient education

Refer patients exclusively to dermatology

7. Which of the following preventive recommendations is supported by evidence to reduce recurrence? *

Daily sitz baths

Avoiding tight clothing

Routine hair removal in the gluteal cleft every 2–3 weeks

Application of topical antibiotics

8. What were the findings of Minneci et al. (2023) regarding laser depilation? *

Laser depilation was associated with increased wound complications

Laser depilation reduced 1-year recurrence from 33% to 10%

Laser depilation showed no difference compared to shaving

Laser depilation was poorly tolerated in adolescents

9. What major barrier limits the widespread use of laser hair removal for pilonidal disease? *

Lack of provider expertise

Insurance coverage and cost concerns

Excessive side effects

Regulatory restrictions

10. Which statement reflects an important equity concern in laser hair removal outcomes? *

Laser treatment is equally effective across all skin tones

The effectiveness may vary by race, ethnicity, or skin type

Darker skin tones always have better outcomes

The laser is contraindicated in patients with pigmentation

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Pilonidal Disease: We Need to Do Better