Digital Block With and Without Epinephrine During Chemical Matricectomy with Phenol

Abstract

The mean anesthetic volume used in the epinephrine group (2.2 ± 0.4 mL) was significantly lower than the plain lidocaine group (3.1 ± 0.6 mL). There was no statistically significant difference in postoperative pain and recurrence rates, but duration of drainage was significantly shorter in the epinephrine group (11.1 ± 2.5 days) than in the plain lidocaine group (19.0 ± 3.8 days). CONCLUSION Digital block with epinephrine is safe in selected patients, and epinephrine helps to shorten the postoperative drainage period. The authors have indicated no significant interest with commercial supporters.

Controversies in the Treatment of Ingrown Nails

“…Using lidocaine with epinephrine 1 : 100,000 was associated with significantly shorter healing times compared to plain lidocaine: 11.1 days versus 19.0 days, and less anaesthetic solution was required [82]. Also ferrichloride 20% after the phenol rub shortened the healing period [83].…”

What′s new in nail disorders?

“…Many authors have reported safe use of lidocaine-epinephrine mixture for digital block in good number of patients. [44][45][46] They did not observe digital necrosis in any of their patients, rather there were added advantages of combining with epinephrine. Epinephrine facilitates faster onset of anesthesia, prolonged post-procedure pain relief, and lesser amount of local anesthetic required without much need of tourniquet placement to control bleeding.…”

Treatment of Distal Lateral Ingrown Toenails

“…Epinefrin içeren anestezik madde kullanımının operasyon sonrası iyileşme süresini belirgin bir şekilde kısalttığı gösterilmiştir (34).…”