Evidence map›Paper›PMID 40151010›Full record

ArticleTurkish journal of surgery2025

Intergluteal fold depth has no influence on pilonidal sinus disease development.

Matthias Maak, Philipp Mörsdorf, Layla Bari, Myriam Braun-Münker, Maximilian Scharonow, Marcel Orth, Dietrich Doll

Abstract read
In one paragraph

Article in Turkish journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Comparison of Phenol Application and Endoscopic Pilonidal Sinus Treatment in Pediatric Pilonidal Sinus Disease.Pediatrics international : official journal of the Japan Pediatric Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Matthias MaakDepartment of Surgery, University Hospital Erlangen of the Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0002-8506-4841
Philipp MörsdorfDepartment of Trauma, Hand and Reconstructive Surgery, Saarland University Faculty of Medicine, Homburg, Germany.ORCID 0009-0009-8306-2410
Layla BariDepartment of Procto-surgery & Pilonidal Sinus, St. Marienhospital Vechta, Vechta, Germany.ORCID 0009-0002-3261-435X
Myriam Braun-MünkerDepartment of Food Technology, Fulda University of Applied Sciences, Fulda, Germany.ORCID 0000-0001-6106-1059
Maximilian ScharonowDepartment of Anaesthesiology, St. Josefs-Hospital Cloppenburg, Cloppenburg, Germany.ORCID 0000-0003-3008-9336
Marcel OrthDepartment of Trauma, Hand and Reconstructive Surgery, Saarland University Faculty of Medicine, Homburg, Germany.ORCID 0000-0001-8239-2463
Dietrich DollDepartment of Procto-surgery & Pilonidal Sinus, St. Marienhospital Vechta, Vechta, Germany.ORCID 0000-0001-9832-4545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The etiology of primary pilonidal sinus disease (PSD) remains unclear. Prior investigations suggest that sharp fragments from the occiput contribute to the formation of PSD. In 2009 a correlation between PSD and a deeper natal cleft was reported. We investigated the association between intergluteal fold (IGF) depth and PSD risk using a standardized five-step measuring protocol. Material and Methods: Our clinical prospective study included 95 PSD patients and 105 non-PSD individuals, and measurements were taken from the glabella sacralis to the anus in a northern German population. Results: The mean (± standard deviation) intergluteal depth progressively increased from the intergluteal opening from the sacral glabella at 9.1 (±3.4) mm to a maximum of 62.6 (±10.4) mm. Notably, the deepest point was consistently observed at the anus, where PSD occurrence is rare. No significant difference in IGF depth between PSD and non-PSD patients was found. Additionally, PSD predominantly developed in the proximal (cranial) third of the IGF, despite the maximum depth being in the distal region. Conclusion: These findings suggest that IGF depth is not a risk factor for PSD.

Indexed as

Intergluteal fold depthmechanism of diseasenatal cleftpilonidal sinusPSD

Identifiers

PMID40151010
PMCPMC12124332

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.