The treatment depends on the disease pattern. An acute abscess is treated with an operation to lay open the abscess to release the pus, and reduce the inflammation and pain. A chronic sinus usually will need to be excised.
Complex or recurrent disease must be treated surgically. Procedures vary from unroofing the sinuses to excision and closure with flaps. Larger operations require longer healing times. If the wound is left open, it will require dressing or packing to keep it clean. Although it may take several weeks to heal, the success rate with open wounds is higher. Closure with flaps is a bigger operation that has a higher chance of infection; however, it may be required in some patients.