Nail Surgery

Jellinek, Nathaniel J.; Vélez, Nicole F.

doi:10.1016/j.det.2014.12.007

Cited by 18 publications

(9 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A single, intravenous dose of cefazolin was administered to all patients. A tactile stimulation in the form of a massage was given to the injection site and the presynaptic inhibition mechanism was utilized [17]. Traditional digital block technique was used for analgesia, and the injection was made into the superficial subcutaneous area using a 30-gauge needle.…”

Section: Methodsmentioning

confidence: 99%

“…All anesthetic procedures were performed under the control of an anesthesia team experienced in pediatric anesthesia. All patients included in the present study were primarily sedated with oral midazolam to provide an anxiolytic effect before digital block and to benefit from the retrograde amnesia effect [17,18]. Midazolam was administered orally at a dose of 0.25 mg/kg, which is the minimum sedation dose, 15 min before the surgical procedure [19].…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…utilized [17]. Traditional digital block technique was used for analgesia, and the injection was made into the superficial subcutaneous area using a 30-gauge needle.…”

Section: Surgical Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle

Kılınçoğlu

Gönder

Demir

et al. 2021

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

This study aimed to assess the treatment process of open, unstable tuft fractures occurring in toddlers and preschool-aged children treated using a 25-gauge hypodermic needle in the emergency department, and the cosmetic and functional results achieved by this treatment. This retrospective cohort study included a total of 72 patients. Children aged two to six years were included in the study. Van Beek classification was used for the evaluation of nail bed injuries. Cosmetic results were evaluated on the basis of Zook classification whereas functional results were evaluated according to the Buck-Gramko score simplified by Nietosvaara et al. The patient population consisted of 52 men and 20 women. The mean age was 4 ± 1.33 years. The operating time was 19.17 ± 3.66 minutes and the time to union was 46.68 ± 4.84 days. While excellent and good functional results were obtained in 65 (90.2%) of the patients, excellent and very good cosmetic results were obtained in 51 (70.8%) patients. Unless there is an accompanying extremity fracture, unstable pediatric tuft fractures can be successfully fixed with a hypodermic needle in the emergency department. Gentle and precise repair of the nail bed may provide cosmetically and functionally satisfactory results.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle

Kılınçoğlu

Gönder

Demir

et al. 2021

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

show abstract

“…Patient anxiety is higher, and the anesthetic should be injected slowly with multiple distractive techniques used to maximize patient comfort. 1 As in nonspecial site cutaneous surgery, obtaining nail unit anesthesia is included in the procedure charge as preservice work, and using the code 64450 (nerve block) is inappropriate. This is true although the preoperative time is significantly extended in nail surgery compared with that on other cutaneous sites.…”

Section: Nail Unit Anesthesia Versus Traditional Cutaneous Anesthesiamentioning

confidence: 99%

Expert Consensus on Nail Procedures and Selection of CPT Codes

Baltz

Rubin

Adigun³

et al. 2021

Dermatol Surg

Self Cite

View full text Add to dashboard Cite

BACKGROUND Dermatologists specialize in treating conditions of the skin, hair, and nails; however, it is our experience that the field of nail diseases is the least discussed facet of dermatology. Even less acknowledged is the complexity of nail procedures and how best to accurately code for these procedures. OBJECTIVE To convene a panel of experts in nail disease to reach consensus on the most accurate and appropriate Current Procedural Terminology (CPT) codes associated with the most commonly performed nail procedures. METHODS A questionnaire including 9 of the most commonly performed nail procedures and potential CPT codes was sent to experts in the treatment of nail disease, defined as those clinicians running a nail subspecialty clinic and performing nail procedures with regularity. A conference call was convened to discuss survey results. RESULTS Unanimous consensus was reached on the appropriate CPT codes associated with all discussed procedures. LIMITATIONS Although this article details the most commonly performed nail procedures, many were excluded and billing for these procedures continues to be largely subjective. This article is meant to serve as a guide for clinicians but should not be impervious to interpretation in specific clinical situations. CONCLUSION Billing of nail procedures remains a practice gap within our field. The authors hope that the expert consensus on the most appropriate CPT codes associated with commonly performed nail procedures will aid clinicians as they diagnose and treat disorders of the nail unit and encourage accurate and complete billing practices.

show abstract

“…4 Traditionally, two methods have been employed for nail unit anesthesia: ring block (proximal nerve block) and wing block (distal nerve block). 5,6 However, both procedures have advantages and disadvantages. 7 The ring block has delayed onset of anesthesia and is sometimes ineffective at the tips of digits, but is less painful than distal nerve block.…”

mentioning

confidence: 99%

A novel nerve block technique for nail surgery

Park,

Choi

2023

Pediatric Dermatology

View full text Add to dashboard Cite

In pediatric patients, nail unit anesthesia is frequently required for procedures including matrixectomy or nail avulsion. However, nail unit anesthesia is very painful and requires a significant amount of time to take complete effect, causing a great deal of distress for most pediatric patients. By targeting the palmar and dorsal digital nerves in the distal part of the fingers, our method enables fast, simple, and less painful anesthesia.

show abstract

Nail Surgery

Cited by 18 publications

References 22 publications

Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle

Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle

Expert Consensus on Nail Procedures and Selection of CPT Codes

A novel nerve block technique for nail surgery

Contact Info

Product

Resources

About