A prospective comparison of wedge matrix resection with nail matrix phenolization for the treatment of ingrown toenail

Herold, Niels; Houshian, Shirzad; Riegels-Nielsen, Per

doi:10.1016/s1067-2516(01)80006-5

Cited by 39 publications

(32 citation statements)

References 14 publications

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“…In our experience, recurrences usually occurred within 2 years, and, therefore, we would have picked up most of the recurrent ingrown toenails in the EPP group. Adult literature also strongly suggests that phenol treatment is associated with a lower recurrence rate, and we feel that this study represents that [1,4].…”

Section: Discussionmentioning

confidence: 63%

The effect of phenol on ingrown toenail excision in children

Islam

Lin

Drongowski

et al. 2005

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 63%

The effect of phenol on ingrown toenail excision in children

Islam

Lin

Drongowski

et al. 2005

Journal of Pediatric Surgery

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“…2 Several previous studies have demonstrated that the addition of phenol significantly reduces the recurrence rate of IGTN within individual surgical techniques. 1,[8][9][10][11] A Cochrane review of IGTN surgery in adults found that avulsion with the use of phenol was more effective at reducing symptomatic recurrence than nail bed excision techniques. 1 Conversely, a recent study in 2007 showed that phenol used with wedge excisions significantly increases recurrence rates within the paediatric population.…”

Section: Discussionmentioning

confidence: 99%

“…8 Since then, several studies have demonstrated its effectiveness when used alone or in combination with a surgical procedure for the treatment of IGTNs. 1,[8][9][10][11] In our own centre, the application of phenol is standardised as careful local administration for 2 min using either soaked cotton wool or an applicator stick.…”

mentioning

confidence: 99%

Surgical treatment of ingrown toenails in children: what is best practice?

Mitchell

Jackson

Wilson-Storey

2011

annals

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INTRODUCTION Surgery for ingrowing toenails carries a significant re-operation rate. We reviewed our departmental figures to assess the optimal management of these patients. PATIENTS AND METHODS We performed a 10-year retrospective review of all patients undergoing surgery for ingrown toenails (IGTN) in order to determine the operations most commonly used and the re-operation rate of each of these procedures. RESULTS A total of 880 procedures were performed on 414 patients. The median age at operation was 8.5 years. About half (48%) of children underwent two or more procedures with wedge excision and phenol application being the most common initial and repeat procedure. Recurrent surgery was most likely following plain avulsion or wedge avulsion without phenol application. Excision of the nailbed with phenol application had the lowest recurrence rate at 18.4%. CONCLUSIONS We recommend wedge resection with phenol application as first-line treatment with simple avulsion reserved for severely infected toes. Total nail bed excisions should be reserved for patients with significant on-going morbidity associated with IGTN. Families must be made aware of the likely outcome of IGTN surgery and the choice of operation must be tailored to the individual.

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“…The recurrence rate was 92% in the partial matrix excision group. In other studies, the recurrence rate of Winograd's procedure was 1.7-27% (4,5,11,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 78%

“…There are many causes of ingrown toenails, including tight shoe wear and improper nail trimming. An ingrown toenail occurs as the nail grows into the nail bed (4). Complaints from patients with ingrown toenails include a disappearing nail, groove, soft tissue hypertrophy-related pain, an odorous discharge, and nail destruction.…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Güler¹,

Mahiroğulları²,

Mutlu³

et al. 2014

JAREM

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Objective: The most frequent nail pathology of the hallux is the ingrown toenail. In our study, we evaluated Winograd's partial matrix excision method as a treatment for unilateral ingrown hallux toenail.Methods: Winograd's partial toenail excision was performed on 239 patients (127 males, 112 females; mean age 37.4 years) with an ingrown toenail. Primary patient complaints included a painful hallux toenail, discharge, nail deformation, and difficulty walking. According to the Heifetz staging system, there were 62 patients evaluated as Stage l, 96 as Stage ll, and 81 as Stage lll. A total of 174 (74%) patients had discharge from infection. In infected cases, an antibiotic was administered until inflammatory signs and discharged ceased, at which time surgical treatment was performed. Patients' duration to return to daily living and work, recurrence ratio, satisfaction, and cosmetic issues were evaluated. The mean follow-up time was 27 months (range: 14-45 months).Results: Patients returned to daily living in 10-15 days (mean 11.3) and to work in 8.7 days (range: 6-13 days). A total of 230 patients (96.3%) were satisfied with the procedure, and 231 patients (96.6%) were satisfied with the cosmetic results. Nine patients were dissatisfied with the surgical outcome, and eight patients who experienced recurrence were dissatisfied with the cosmetic results. None of the patients experienced deep tissue infections or neurovascular complications. Conclusion:Winograd's partial matrix excision method is a beneficial surgical procedure for ingrown toenail, resulting in low recurrence and high satisfaction rates. (JAREM 2014; 1: 7-11) Key Words: Big toe, hallux, nail disorders, ingrown toenail surgery ÖZET Amaç: Tırnak batması, toplumda sık görülen ve en sık tırnak hastalığıdır. Bu çalışmada, ayak baş parmağına tek taraflı tırnak batması nedeniyle Winograd yöntemiyle kısmi matriks eksizyonu yapılan hastalarda tedavi sonuçları değerlendirildi.Yöntemler: Tırnak batması nedeniyle 239 hastaya (127 erkek, 112 kadın; ort. yaş 37,4) Winograd prosedürüne uygun olarak kısmi matriks eksizyonu uygulandı. Hastaların temel şikayetleri ayak baş parmağına ağrı, akıntı, tırnakta şekil bozukluğu ve yürüme güçlüğü idi. Heifetz'in tırnak batması evrelendirmesine göre 62 hasta evre I, 96 hasta evre II, 81 hasta evre III olarak değerlendirildi. Yüz yetmiş sekiz (%74) hastada enfeksiyon zemininde aktif akıntı vardı. Enfekte olgularda enflamasyon bulguları ve akıntı ortadan kalkıncaya kadar antibiyoterapi uygulandı ve sonrasında cerrahi tedavi yapıldı. Hastaların günlük hayat ve işe dönüş zamanları, nüks gelişme oranı, hasta memnuniyeti ve kozmetik sorunlar açısından değerlendirildi. Ortalama takip süresi 27 ay (dağılım 14-45 ay) idi.Bulgular: Dokuz hastada (%3,7) nüks görüldü. Ortalama nüks gelişim süresi 5,6 aydı (dağılım 2-9 ay). Hastalar ortalama 6,7 günde (dağılım 3-11 gün) günlük aktivitelerine geri döndü. İşe dönüş süresi ortalama 10,2 gün (dağılım 7-16 gün) bulundu. İkiyüzotuz (%96,3) hasta yapılan müdahaleden memnundu. İki yüz ...

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A prospective comparison of wedge matrix resection with nail matrix phenolization for the treatment of ingrown toenail

Cited by 39 publications

References 14 publications

The effect of phenol on ingrown toenail excision in children

The effect of phenol on ingrown toenail excision in children

Surgical treatment of ingrown toenails in children: what is best practice?

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

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