A New Surgical Therapeutic Approach to Pincer Nail Deformity

Abstract

This new surgical approach was found to be effective and is presented as an alternative treatment modality for PND.

Partial Excision of Matrix and Phenolic Ablation for the Treatment of Ingrowing Toenail: A 36-Month Follow-Up of 197 Treated Patients

“…20 Newer methods of segmental nail bed ablation, including electrodesiccation, sodium hydroxide treatment, negative galvanic current therapy, and carbon dioxide laser, are reported to give good results but seem to be not as cost effective as phenol ablation. 9,[21][22][23][24][25] The literature contains many descriptions of the effectiveness, cure rates, and complications of matrix cauterization with phenol for the treatment of ingrowing nails. 17,[26][27][28][29] The follow-up periods are important for evaluating the success of this procedure, because recurrence may occur even 1 or 2 years later.…”

A Rare Case of Rapid Progression from Incurved Nail to Pincer Nail

“…(3) Other causes: Cornelius & Shelley noted 5 years 9 in duration, Baran reported 5 or 6 years, 3 Suzuki and colleagues reported 6 months to 8 years, 10 and Aksakal and colleagues reported 6 to 9 years. 11 In this case, linear length of the second toenail was 10 mm. In general, fingernail growth is approximately 10 mm every 3 months; in contrast, toenail growth is one-third of this rate.…”

A New Surgical Technique for the Correction of Pincer-Nail Deformity: Combination of Splint and Nail Bed Cutting

“…Kojima and colleagues applied splinting after surgical repair and reported fixing a silicon sheet to the nail bed after elevation of a periosteal flap. 15 Brown and colleagues described the use of dermal graft beneath the nail bed and silicon sheet after surgery. 16 Hatoko and colleagues 17 reported the use of a hard palate mucosal graft for correction of severe pincer nail deformity in 2003.…”

“…10 Since the first publication of pincer nail, many conservative 5,11,12 and surgical 3,13-17 treatment modalities have been described. Various surgical treatments have been reported, such as raising a periosteal skin flap 15,16 and employing a skin graft. 13,17 When the condition is mild, the nail brace technique is used over a period of 6 months and results in painless correction of the pincer nail, but, because the underlying bone pathology remains, relapse is common, so the use of phenol or surgical ablation of the lateral matrix horn is unsatisfactory.…”