Minimizing Postoperative Drainage with 20% Ferric Chloride After Chemical Matricectomy with Phenol

Aksakal, A. Burhan; Atahan, C.; Öztaş, Pınar; Oruk, Şemsettin

doi:10.1097/00042728-200102000-00012

Cited by 22 publications

(32 citation statements)

References 10 publications

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“…9 A 20% ferric chloride solution can be used just after phenolization to improve postoperative drainage. 10 Slight edema in the lateral and proximal nail folds may remain for 1 week, and can be improved by applying clobetasol cream. Infection, although rare, is the most common complication.…”

Section: Management Of Complicationsmentioning

confidence: 99%

Best Way to Treat an Ingrown Toenail

Chiacchio

2015

Dermatologic Clinics

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Section: Management Of Complicationsmentioning

confidence: 99%

Best Way to Treat an Ingrown Toenail

Chiacchio

2015

Dermatologic Clinics

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“…The recurrence rate after phenol ablation is reported to be 5%. Complications included soft tissue necrosis, corrosion, drainage lasting >6 weeks, and rare systemic toxicity (22,(26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Güler¹,

Mahiroğulları²,

Mutlu³

et al. 2014

JAREM

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Objective: The most frequent nail pathology of the hallux is the ingrown toenail. In our study, we evaluated Winograd's partial matrix excision method as a treatment for unilateral ingrown hallux toenail.Methods: Winograd's partial toenail excision was performed on 239 patients (127 males, 112 females; mean age 37.4 years) with an ingrown toenail. Primary patient complaints included a painful hallux toenail, discharge, nail deformation, and difficulty walking. According to the Heifetz staging system, there were 62 patients evaluated as Stage l, 96 as Stage ll, and 81 as Stage lll. A total of 174 (74%) patients had discharge from infection. In infected cases, an antibiotic was administered until inflammatory signs and discharged ceased, at which time surgical treatment was performed. Patients' duration to return to daily living and work, recurrence ratio, satisfaction, and cosmetic issues were evaluated. The mean follow-up time was 27 months (range: 14-45 months).Results: Patients returned to daily living in 10-15 days (mean 11.3) and to work in 8.7 days (range: 6-13 days). A total of 230 patients (96.3%) were satisfied with the procedure, and 231 patients (96.6%) were satisfied with the cosmetic results. Nine patients were dissatisfied with the surgical outcome, and eight patients who experienced recurrence were dissatisfied with the cosmetic results. None of the patients experienced deep tissue infections or neurovascular complications. Conclusion:Winograd's partial matrix excision method is a beneficial surgical procedure for ingrown toenail, resulting in low recurrence and high satisfaction rates. (JAREM 2014; 1: 7-11) Key Words: Big toe, hallux, nail disorders, ingrown toenail surgery ÖZET Amaç: Tırnak batması, toplumda sık görülen ve en sık tırnak hastalığıdır. Bu çalışmada, ayak baş parmağına tek taraflı tırnak batması nedeniyle Winograd yöntemiyle kısmi matriks eksizyonu yapılan hastalarda tedavi sonuçları değerlendirildi.Yöntemler: Tırnak batması nedeniyle 239 hastaya (127 erkek, 112 kadın; ort. yaş 37,4) Winograd prosedürüne uygun olarak kısmi matriks eksizyonu uygulandı. Hastaların temel şikayetleri ayak baş parmağına ağrı, akıntı, tırnakta şekil bozukluğu ve yürüme güçlüğü idi. Heifetz'in tırnak batması evrelendirmesine göre 62 hasta evre I, 96 hasta evre II, 81 hasta evre III olarak değerlendirildi. Yüz yetmiş sekiz (%74) hastada enfeksiyon zemininde aktif akıntı vardı. Enfekte olgularda enflamasyon bulguları ve akıntı ortadan kalkıncaya kadar antibiyoterapi uygulandı ve sonrasında cerrahi tedavi yapıldı. Hastaların günlük hayat ve işe dönüş zamanları, nüks gelişme oranı, hasta memnuniyeti ve kozmetik sorunlar açısından değerlendirildi. Ortalama takip süresi 27 ay (dağılım 14-45 ay) idi.Bulgular: Dokuz hastada (%3,7) nüks görüldü. Ortalama nüks gelişim süresi 5,6 aydı (dağılım 2-9 ay). Hastalar ortalama 6,7 günde (dağılım 3-11 gün) günlük aktivitelerine geri döndü. İşe dönüş süresi ortalama 10,2 gün (dağılım 7-16 gün) bulundu. İkiyüzotuz (%96,3) hasta yapılan müdahaleden memnundu. İki yüz ...

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“…Complications, such as spicule formation, infection, tissue necrosis, pain, exudative fluid leakage, and periostitis, have been reported in association with phenol matricectomy [7,20,21]. Aksakal et al [21] reported a significant reduction in the exudative fluid leakage with the application of 20% ferric chloride followed by phenolization. The lack of spicule formation in all patients in the current study indicates that the technique is particularly important.…”

Section: Discussionmentioning

confidence: 99%

Medical Treatment of Ingrown Toenails by Chemical Matricectomy Using Phenol

2014

J Turk Acad Dermatol

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Minimizing Postoperative Drainage with 20% Ferric Chloride After Chemical Matricectomy with Phenol

Cited by 22 publications

References 10 publications

Best Way to Treat an Ingrown Toenail

Best Way to Treat an Ingrown Toenail

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Medical Treatment of Ingrown Toenails by Chemical Matricectomy Using Phenol

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