Clinical characteristics and surgical treatment of congenital gluteal dermal sinus tract in children: a 15-year retrospective single-center clinical experience

作者：Debao Li, Zheng Shan, Xianmin Xiao, Y Y, Qingchi Zhang, Chenbin Dong, Weijing He, G Q Chen, C Frank Shen, Song Sun · 发表于：Frontiers in Pediatrics · 年份：2026 · DOI：10.3389/fped.2026.1836614 · 研究领域：Hip disorders and treatments、Body Contouring and Surgery、Foot and Ankle Surgery

Objective To summarize the clinical features, diagnosis, treatment, and prognosis of congenital gluteal dermal sinus tracts in children, providing insights for better clinical management. Methods A retrospective analysis was conducted on 20 patients diagnosed with congenital gluteal dermal sinus tracts at the Children's Hospital of Fudan University over 15 years. The analysis focused on age, gender, diagnostic delay, diagnostic methods, course and opening of the sinus tract, and postoperative follow-up. Results The study included 6 males and 14 females, with symptom onset ranging from birth to 12 years (median age of 9.5 months). Initial symptoms included abnormal gluteal depression with recurrent infections ( n = 8), unexplained recurrent infections ( n = 6), and asymptomatic gluteal depression or small holes ( n = 6). The time from symptom onset to diagnosis ranged from 1 to 102 months (median: 13.5 months). MRI was positive in 87.5%, identifying the tract in 81.25%. CT scans were positive in all cases, but only 50% identified the tract. Sinus tractography successfully identified the tract in 7 of 10 patients. The sinus tracts were classified into three types based on the opening location. All sinus tracts were excised during surgery, with an average length of 4.95 cm. Two patients experienced recurrence and underwent reoperation, while the remaining 15 had no recurrence. Conclusion Congenital gluteal dermal sinus tracts are more common in females and often misdiagnosed. CT...