quotethe presence of hair in the gluteal crease is the most important predisposing risk factor for polol disease↗
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clinicalPresence of hair in the gluteal crease is the most important predisposing risk factor for pilonidal disease↗
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quoteWe hypothesize that the more hair reduction could correlate with a lower chance of polol disease recurrence.↗
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epidemiologicalStudy included 198 patients presenting from June 2019 to April 2022↗
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epidemiological102 patients were male and 96 patients were female↗
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epidemiologicalMajority of patients had Fitzpatrick skin types three and four↗
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epidemiologicalMean age at time of first laser session was 18 years↗
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epidemiologicalMedian follow-up time was 217 days↗
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epidemiologicalMajority of patients had dark colored and medium thickness hair↗
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clinicalOn average, 4.3 sessions required to reach 50% hair reduction↗
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clinicalOn average, 6.6 sessions required to reach 75% hair reduction↗
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clinicalOn average, 7.8 sessions required to reach 90% hair reduction↗
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clinicalPatients with Fitzpatrick skin types 1 and 2 required less average laser sessions to reach the same percentage of hair reduction compared to other skin type groups↗
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clinicalThicker hair was associated with higher average laser sessions required↗
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clinicalDark colored hair was associated with higher average laser sessions required↗
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clinicalA linear relation was observed between number of laser sessions and amount of hair reduction regardless of patient hair and skin characteristics↗
clinicalNone of the patients with more than 75% hair reduction experienced recurrence↗
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clinicalAfter controlling for other confounding factors, dark hair was associated with higher recurrence rate↗
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clinicalAfter controlling for other confounding factors, Fitzpatrick skin types five and six were associated with higher recurrence rate↗
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epidemiologicalMean number of laser sessions after which recurrence occurred was 3.2 sessions↗
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clinicalProbability of recurrence after 75% hair reduction decreased by 100%↗
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opinion75% hair reduction could be a treatment target for pilonidal disease patients since no recurrence occurred after achieving this threshold in the study cohort↗
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clinicalProbability of recurrence after 50% hair reduction decreased by 78%↗
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clinicalProbability of recurrence after 20% hair reduction decreased by 50%↗
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clinicalProbability of recurrence decreases with increase in percentage of hair reduction↗
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quoteSince in our patient cohort, no recurrence occurred after achieving 75% hair reduction, we may conclude that this could be a treatment target for polol disease patients.↗
