Ingrowing toenails: The results of treatment

Palmer, Bernard V.; Jones, Angela

doi:10.1002/bjs.1800660818

Cited by 63 publications

(47 citation statements)

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“…Conventional surgical treatment of ingrown toenails has been associated with an unacceptably high recurrence rate, substantial postoperative pain, and poor cosmetic results. 10,11 Simple nail edge excision has a recurrence rate of 39%, 10,12 and total nail avulsion has a recurrence rate of 83%, 13,14 whereas soft tissue resection has a cure rate of 60%. 10,14,15 The reported recurrence rate after wedge resection ranges from 12% to 30%.…”

Section: Phenolizationmentioning

confidence: 99%

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Karaca

Dereli

2012

The Annals of Family Medicine

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PURPOSE Ingrown toenail is one of the most common nail conditions. Although many surgical treatments are described for complicated cases, recurrence of pain and postoperative disability are common. We evaluated the long-term effi cacy of proximolateral matrix partial excision followed by chemical matricectomy with phenol. METHODSWe performed 348 proximolateral partial matricectomies and phenol ablations in 225 patients with stage 2 or 3 ingrown toenail. Patients were examined weekly until full wound healing was achieved and were observed for 24 months to assess the long-term effi cacy of the treatment.RESULTS Short-term results were good. We observed only 1 recurrence during the 24-month follow-up period, at 8 months. The success rate was therefore 99.7%. No severe complications occurred. Cosmetic results were remarkably good.CONCLUSIONS Proximolateral partial matricectomy with phenol ablation is an excellent surgical method for the treatment of ingrown toenails, having low morbidity and a high success rate, even in the long term.

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Section: Phenolizationmentioning

confidence: 99%

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Karaca

Dereli

2012

The Annals of Family Medicine

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“…Nail extraction or partial nail extraction alone has a high recurrence rate, ranging between 64% and 83%. 7,[14][15][16] The recurrence rate of wedge resection with incision of the eponychium ranges from 10% to 30%. 5,6,8,14,15,17,18 A disadvantage of the wedge resection is the incision of the eponychium, which may lead to prolonged healing or problems with the scar.…”

Section: Commentmentioning

confidence: 99%

Partial Matrix Excision or Segmental Phenolization for Ingrowing Toenails

Gerritsma-Bleeker¹

2002

Arch Surg

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“…6 However, the underlying matrix needs to be resected as well. 7 This ensures that regeneration of the nail does not happen. Phenol cauterization of the matrix is a very effective method to prevent recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…11 Abnormal transmission of forces while walking may lead to abnormal transmission of pressure through the nail into surrounding soft tissues. 7 This needs to be addressed by supportive care which includes proper cutting of nails exactly perpendicular to long axis, use of footwear with broad forefoot and use of toe distractors to alter lines of transmission of force.…”

Section: Discussionmentioning

confidence: 99%

Combination therapy for recurrent ingrown toe nail

et al. 2017

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Ingrown toe nail is one of the commonest foot lesion affecting young individuals. The recurrence rate with a variety of treatment modalities continues to be quite significant. Hence the need to develop a comprehensive combination therapy to reduce the recurrence rate. Onychocryptosis or ingrown toe nail is a common and painful form of nail disease. It affects adolescents and young males very commonly. A combination therapy comprising of wedge resection of the nail, matricectomy, phenol cauterization and wedge excision of hyper granulations for recurrent advanced presentation of ingrown toe nail is presented. A 32-year-old male with a history of recurrent ingrown toe nail, operated twice previously presented with an advanced stage of ingrown toe nail. Hypertrophic granulation tissue covered both lateral and medial nail plates. The patient was treated with an integrated surgical approach comprising of wedge resection of medial as well as lateral border of nail ensuring removal of spicules on either side, followed by wedge resection of underlying nail bed. This was followed by phenol cauterization and elliptical excision of hypertrophic granulations. The predisposing factors, natural history and treatment modalities are discussed. Combination therapy is a safe and the best option for recurrent ingrown toe nail. It can also be used as a form of primary treatment in fresh cases to prevent recurrence.

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Ingrowing toenails: The results of treatment

Cited by 63 publications

References 1 publication

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Partial Matrix Excision or Segmental Phenolization for Ingrowing Toenails

Combination therapy for recurrent ingrown toe nail

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