Electrocautery and Computerized Bipolar Coagulation Simplify Nail Surgery

Stenquist, B. O.; Bergdahl, Björn

doi:10.1111/j.1524-4725.2010.01819.x

Cited by 1 publication

(2 citation statements)

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“…5,9 ED uses electric current to generate heat and cause tissue dehydration and superficial destruction, thereby inducing coagulation necrosis and carbonization of cells, which are then ultimately removed via a combination of enzymatic degradation and phagocytosis. 13,17 The amount of ED needed can be reduced when most of the matrix tissue is first removed by an adjunct method such as dissection or curettage. 13 Recurrence rates following ED from the 11 studies in this review ranged from 0% to 44.8%, however, 7 out of the 11 studies reported a recurrence rate of 0% to 5%, and 2 out of the 11 studies, 10% to 15%.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Electrodessication Matricectomy With Modified Hyfrecator Tip: Case Series and Literature Review

Chan

Pehr

2021

J Cutan Med Surg

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Nail matricectomy is indicated in the management of painful onychodystrophies, including recalcitrant onychocryptosis, onychogryphosis, onychauxis, and refractory onychomycosis. Although many matricectomy methods have been described, with phenolization being the best studied, no one method has clearly emerged as superior. We present a series of 14 patients who underwent a total of 18 matricectomies with either phenolization or electrodessication (ED) in a private dermatology office, and describe a simple and effective variation of the ED technique using a modified hyfrecator tip. A video demonstration of this technique is included. We also describe ED matricectomy in the context of a review of the literature, ascertaining recurrence rates, complication rates, healing time, and patient satisfaction. The nuances of technique specifics (such as the use of adjunct methods and antibiotics), as well as outcome predictors and measurements have been highlighted. We found ED to be comparable to other forms of matricectomy, with the advantages of ease of use, minimal complications, and good satisfaction rates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%