Behandlung einiger Nagelfehlbildungen

Haneke, Eckart

doi:10.1007/978-3-642-70647-9_8

Cited by 7 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When their size is too large to just excise and suture, primarily a bipedicled flap instead of Schernberg's U-shaped nail flap is proposed. Our flap design allows defects of up to 50% of the nail to be closed[ 27 – 30 ] and is very safe.…”

Section: Surgical Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Advanced nail surgery

Haneke

2011

J Cutan Aesthet Surg

View full text Add to dashboard Cite

Six techniques not yet widely known or used in the dermatologic surgery of the nails are briefly described. Small-to-medium-sized tumours of the proximal nail fold (PNF) can be excised and the defect repaired with advancement or rotation flaps. A superficial biopsy technique of the matrix for the diagnosis of longitudinal brown streaks in the nail, which allows rapid histological diagnosis of the melanocyte focus to be performed, is described here. Because the excision is very shallow and leaves the morphogenetic connective tissue of the matrix intact, the defect heals without scarring. Laterally positioned nail tumours can be excised in the manner of a wide lateral longitudinal nail biopsy. The defect repair is performed with a bipedicled flap from the lateral aspect of the distal phalanx. Malignant tumours of the nail organ often require its complete ablation. These defects can be covered by a full-thickness skin graft, reversed dermal graft, or cross-finger flap. The surgical correction of a split nail is often difficult. The cicatricial tissue of the matrix and PNF have to be excised and the re-attachment of these wounds prevented. The matrix defect has to be excised and sutured or covered with a free matrix graft taken either from the neighbouring area or from the big toe nail.

show abstract

Section: Surgical Techniquesmentioning

confidence: 99%

“…Back-stitch sutures are used to raise the skin approximately 3 mm over the level of the remaining nail plate so as to create a new lateral nail wall. [ 27 ] The secondary defect is left for second-intention wound healing. This technique gives excellent functional results.…”

Section: Surgical Techniquesmentioning

confidence: 99%