Operative Technique with Rapid Recovery for Ingrown Nails with Granulation Tissue Formation in Childhood

Abstract

Flexible tube secured using a suture has a lower recurrence rate than matricectomy. Additional advantages are the speed with which complaints can be monitored and quick return to school because recovery may be as short as 48 hours.

Knot Technique

“…8 When partial matrix excision and segmental phenolization are compared, there were no statistically significant differences between the postoperative recovery periods, complication rates, and tolerability of the procedures. 10 Inadequate excision of granulation tissue may be the reason for this. 10 Inadequate excision of granulation tissue may be the reason for this.…”

Chronic, severe onychocryptosis successfully treated with nail tube splinting in a 13-year-old girl with multiple prior failed matricectomies

“…After excision, the proximal lateral nail plate could be visualized and featured multiple small spicules. A modified technique for nail splinting using a flexible tube (from a #19 butterfly needle) secured using a suture was performed on the right great toenail, based on the description by Perez et al [3].…”

Nailing It

“…5,10 Dermoscopy can be helpful, but dermoscopic patterns have not been validated by evidence-based studies. Dermatologists contribute regularly to the nail literature, including more recently, updates on matricectomy techniques, [14][15][16] and the management of digital myxoid cysts. 12 Poor or improper technique, or biopsy deferral based on being uncomfortable with the procedure, may result in a missed or delayed diagnosis of melanoma, respectively.…”