It has been postulated that hair penetrates into the subcutaneous tissues through dilated hair follicles, which is thought to occur particularly in late adolescence, though follicles are not found in the walls of cysts. A sinus develops with a short tract, with a not clearly understood suction mechanism involving local anatomy, eventually leading to further penetration of the hair into thesubcutaneous tissue.
Antibiotics do not heal a pilonidal cyst. Doctors have any of a number of procedures available, including the following treatments. The preferred technique for a first pilonidal cyst is incision and drainage of the cyst, removing the hair follicles and packing the cavity with gauze. Advantage - Simple procedure done under local anesthesia Disadvantage - Frequent changing of gauze packing until the cyst heals, sometimes up to three weeks.
At Mayo Clinic, researchers are carrying out experiments to know how to get rid of pilonidal cyst.
Around 50% of male adults are facing the problem of pilonidal cyst.