SURGICAL MANAGEMENT OF NATAL CLEFT SINUS:A PROSPECTIVE CLINICAL STUDY
|Full paper||Not Available|
A series of 100 patients with natal cleft sinus (P. N. S.) were subjected to be managed surgically. They included 79 males and 21 females, their mean age was 26. 7 years, (S. D + 2.6). Their mean period of illness varied from 1.4 to 5.1 months. No congenital anomalies were detected in any of our patients. Excision of the sinus under anaesthesia deep to the presacral fascia was performed for all the patients. To manage the remainning cavity the patients were grouped randomly into (equal groups. One group had primary rnidline closure, the second was managed by primary oblique closure, in the third group the wounds were left opened and the last group was managed by marsupialization. Comparative study between the 4 groups revealed that best results were obtained in the patients of groupll having their wounds managed by primary oblique closure as the recurrence rate was less than the other groups also they had shorter hospital stay and less days Off work as their wounds had a more rapid healing time.