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

Güler, Olcay; Mahiroğulları, Mahir; Mutlu, Serhat; Cerci, Halis; Şeker, Ali; Mutlu, Harun

doi:10.5152/jarem.2014.478

Cited by 7 publications

(5 citation statements)

References 31 publications

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“…Recurrence rate in Perez‐Rey et al's study was 1.1% (Perez‐Rey et al, ). In the literature, recurrence rate for the wedge resection was found as 13.2% in Kose et al's study, as 7.5% in Perez‐Rey et al's study, as 3.7% in Güler et al's study which was performed on 239 patients, and as 5% in Akpolat et al's study (Perez‐Rey et al, ; Akpolat et al, ; Güler, Mahiroğulları, Mutlu, & Çerçi, ; Kose et al, ). In our study, recurrence rate after 1 year was 5.4% for chemical matricectomy with NaOH and 3.6% for wedge resection.…”

Section: Discussionmentioning

confidence: 94%

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

Akkus

Demirseren

et al. 2018

Dermatologic Therapy

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Ingrown nail is a common problem seen in the dermatology clinics. The aim of this study is to compare the wedge resection method and chemical matricectomy with NaOH in terms of operation time, postoperative pain severity, postoperative drainage, recurrence rates, recovery time, and the effects of these two methods on Dermatology Quality of Life Index. This study included 60 patients. About 42 nail edges of 30 patients were treated with NaOH for chemical matricectomy and wedge resection was performed for 33 nail edges of 30 patients. Operation time for chemical matricectomy and wedge resection was an average of 7.66 ± 3.65 and 19.25 ± 5.54 min (p < .001). Recovery time was an average of 17.27 ± 14.22 days for chemical matricectomy and an average of 28.85 ± 17.03 days for wedge resection (p = .004). Recurrence was detected in 5.4% of the nail edges treated with chemical matricectomy and 3.6% of the nail edges treated with wedge resection (p = 1.000). Absence of differences for the recurrence rates between wedge resection method and chemical matricectomy method with NaOH shows that effectiveness of these approaches are similar. It seems that quite short operation and recovery times in the chemical matricectomy are the main advantage of the method.

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Section: Discussionmentioning

confidence: 94%

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

Akkus

Demirseren

et al. 2018

Dermatologic Therapy

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“…Some authors reporting on this technique have presented recurrence rates of 12% [4,6], an average postoperative infection rate of 10% [6], and a high degree of functional and esthetic patient satisfaction, both above 90%, as verified by large-scale studies [6,18,19]. In order to decrease recurrence as well as postoperative rates and healing time, an approach was developed that involves two modifications to the originally described technique [15].…”

Section: Discussionmentioning

confidence: 99%

“…These differences in functional outcomes might be due to the postoperative recovery time, which allows a quick reintroduction into activities of daily living, increasing the perception of functionality. In some patients, the conventional Winograd technique might cause a narrowing of the nail that can be seen as cosmetically less favorable [19], particularly by females [6,20,22]. For example, Huang et al [17] and Ali et al [6] showed 5.26% and 7.69% of complaints due to the esthetic result.…”

Section: Discussionmentioning

confidence: 99%

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

Oliveira

Izquierdo-Cases

Nova

et al. 2022

IJERPH

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The Winograd technique is a common surgical treatment for ingrown toenails. Attempting to improve the results of this technique, two modifications were adopted: the incisional approach and the use of adhesive approximation strips. This study aimed to compare the conventional technique and the modified version based on (i) postoperative complications, (ii) healing time, (iii) recurrence rate, and (iv) overall patient satisfaction. A longitudinal, observational, and retrospective design was used, with a sample of 208 patients divided into the modified Winograd technique (n = 111) and the conventional Winograd technique (n = 97) in three clinics in Portugal, with follow-up periods of more than 15 years and 10 years, respectively. The modifications to the Winograd technique revealed fewer postsurgical complications, in terms of infections (1.8% vs. 20.62%, p < 0.010), recurrence rate (2.7% vs. 5.21%, p > 0.05), shorter recovery time (8.10 ± 0.76 vs. 14.51 ± 3.48 days, p < 0.001), and lower postoperative pain and better satisfaction with the functional and esthetic results, with the patient’s overall satisfaction, and with significant differences in relation to the conventional technique (p < 0.001). The modifications performed showed a lower rate of infection, decreased healing time, and better patient satisfaction, suggesting that it may be adopted in clinical practice for the treatment of stages II and III ingrown toenails.

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“…Güler ve ark. 19 239 hastaya Winograd tekniği kullanarak kısmi matriks eksizyonu uyguladıkları çalışmada %3,7 hastada rekürrens saptanmış, ortalama rekürrens zamanı 5,6 ay ve günlük aktiviteye dönüş zamanı 6, 7 gün olarak bildirilmiştir. Koçyiğit ve ark.…”

Section: Discussionunclassified

Comparison of the Winograd method and chemical cauterization with 10% sodium hydroxide for treating ingrown toenails

Akpolat¹,

Akpolat²,

Namdaroğlu³

et al. 2016

TURKDERM

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Background and Design:This study was performed to assess the therapeutic outcomes of the surgical method, described by Winograd and chemical cauterization with sodium hydroxide in patients with Heifetz stage 2 and 3 ingrown toenail (recurrence, complication, improvement and time to regain activity). Materials and Methods: One-hundred patients who presented to the outpatient clinics of orthopedics, general surgery and dermatology with the complaints of pain, redness and discharge in the toenail between January 2010 and January 2012 and who failed to respond to conservative treatment and were diagnosed with Heifetz stage 2 and 3 ingrown toenail. Fifty patients underwent chemical cauterization with sodium hydroxide while 50 underwent Winograd surgery. Results: The patients were followed up for a year at 2-month intervals. While no recurrence was observed in patients who received chemical cauterization, five patients who underwent Winograd surgery had recurrence (p=0.022). Three patients receiving Winograd surgery were found to have superficial wound side infection on postoperative follow-up (p=0.08). Patients, who underwent chemical cauterization with sodium hydroxide, were detected to improve and return to normal activity in a shorter period. Conclusion: Chemical cauterization of the germinal matrix with 10% sodium hydroxide is a convenient method with a low rate of complication and recurrence compared to the Winograd surgery in the treatment of ingrown toenails.

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

Cited by 7 publications

References 31 publications

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study

Comparison of the Winograd method and chemical cauterization with 10% sodium hydroxide for treating ingrown toenails

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