Factors affecting surgical outcomes of digital glomus tumour: a multicentre study

Kim, Young Jun; Kim, Dong Hee; Park, Jin-Sung; Baek, Jong Hun; Kim, Kyu-Jin; Lee, Jae Hoon

doi:10.1177/1753193418774176

Cited by 13 publications

(16 citation statements)

References 24 publications

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“…This NS method can be used for proximally located glomus tumors according to our map. However, we don't suggest to use it due to a high recurrence rate (2/7) of nail deformities [6].…”

Section: Discussionmentioning

confidence: 94%

“…The most common approach is the transungual approach. This approach provides a good exposure but has some disadvantages like nail deformities [1,6,[18][19][20]. To reduce the complications due to the used approach we prepared a map of the locations of glomus tumors in the nail bed and developed an algorithm for the choice of the surgical approach depending on the lo-cation of the tumor (▶ Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Kim et al [6] published a multicenter study with the 'nail sparing' (NS) method in 2018. They reported two nail deformities in 9 patients, but no statistically significant differences compared to the transungual group.…”

Section: Discussionmentioning

confidence: 99%

“…Glomus tumors account for less than 5 % of all hand tumors and are less common in children. They are commonly seen in women bet ween the age of 30-50 years [5][6][7]. Glomus tumors could be located on the hand, wrist, forearm, and foot.…”

Section: Introductionmentioning

confidence: 99%

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Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

Ci̇van

Ozaksar²,

Cavit

et al. 2020

Handchir Mikrochir Plast Chir

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Purpose Glomus tumors are rare vascular pathologies characterized by a triad of symptoms: tenderness, pain and cold intolerance. In the hand they are highly concentrated under the nail bed. In this retrospective study, we aimed to present a topographic map of the location of glomus tumors in the nail bed and a map-based surgical approach algorithm to the subungual glomus tumors. Methods We prepared a nail bed map with 6 zones and named these zones as ulnar distal, ulnar proximal, central distal, central proximal, radial distal and radial proximal. With respect to the tumor location and the used surgical approach we retrospectively evaluated the intraoperative photos and the hospital records of patients who were operated between 2008–2019 and had the pathological diagnosis of glomus tumor. The examination records of the postoperative first year were evaluated for each patient retrospectively. A descriptive statistical analysis was performed. In addition we analyzed the described surgical approaches to excise a glomus tumor in the nail bed. The described approaches and the approaches used by us were matched with the localisation of the tumors in this study developing an algorithm for the surgical approach depending on the localisation of the nail bed glomus tumor. Results Finally 44 patients had inclusion criteria. The distribution of the glomus tumor was as follows: 2 were on ulnar distal (4.5 %), 9 on ulnar proximal (20.5 %), 1 on central distal (2.3 %), 18 on central proximal (40.9 %), 4 on radial distal (9.1 %) and 10 were on the radial proximal zones (22.7 %). 4 lateral approaches, 1 nail sparing and 39 transungual approaches were performed. We had one recurrence in a male patient operated by transungual approach. Conclusion Glomus tumors are mostly located on the central proximal part of the nail bed. Our glomus map and the algorithm we described might be helpful for the selection of the surgical approach for the glomus tumor.

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“…This NS method can be used for proximally located glomus tumors according to our map. However, we don't suggest to use it due to a high recurrence rate (2/7) of nail deformities [6].…”

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

Ci̇van

Ozaksar²,

Cavit

et al. 2020

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

show abstract

“…Surgical approaches can be divided into two major groups: the nail unit sparing approaches (lateral paraungual, lateral subperiosteal and periungual), and the nail unit non-sparing approaches (transungual). Kim et al. (2018) conducted a multicentre study to analyse factors affecting surgical outcomes according to the techniques used.…”

Section: Discussionmentioning

confidence: 99%

The ‘shark mouth’ flap approach for digital glomus tumours in 24 patients: technique and clinical outcomes

Asmar

Mati

Pop

et al. 2019

J Hand Surg Eur Vol

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This retrospective, single-centre study was carried out on patients with digital subungual glomus tumours. We describe a subperiosteal approach with a ‘shark mouth’ flap containing the nail plate and nail bed as a single unit, providing ideal exposure and easy access to the tumour. It combines the advantages of the transungual and lateral approaches, whether the subungual tumours are located centrally, peripherally or under the germinal matrix. The ‘shark mouth’ flap approach was used by the same surgeon in 24 patients with solitary glomus tumours of the fingers. Clinical outcomes at the early postoperative phase and at the last follow-up were satisfactory. Pain relief and wound healing were quickly achieved. No complications, such as fingertip numbness or nail deformities, were observed, and there was only one recurrence. This approach is reliable, nail-sparing and less time-consuming than other techniques. Level of evidence: IV

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Blue Nail Discoloration: Literature Review and Diagnostic Algorithms

Hwang

Lipner

2023

Am J Clin Dermatol

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Factors affecting surgical outcomes of digital glomus tumour: a multicentre study

Abstract: IV.

Cited by 13 publications

References 24 publications

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

The ‘shark mouth’ flap approach for digital glomus tumours in 24 patients: technique and clinical outcomes

Blue Nail Discoloration: Literature Review and Diagnostic Algorithms

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