Radical excision of the nailfold for ingrowing toenail.

OBJECTIVE. Sodium hydroxide matricectomy is a successful method for the treatment of ingrown toenails. This study was designed to evaluate the optimal sodium hydroxide application period providing high success rates with minimal postoperative morbidity.MATERIALS AND METHODS. Sixty-six patients with 225 ingrown nail edges were treated in three groups receiving 30-second, 1-minute, and 2-minute applications of sodium hydroxide. Each patient was reviewed postoperatively for pain, drainage, and tissue damage. The median long-term follow-up period was 14 months.RESULTS. The success rate of the therapy was 70.9% in the first group, 92.7% in the second group, and 94.4% in the third group. In all groups, about half of the patients experienced minimal pain within 48 hours following the operation, but only in the third group, 20% of the patients had minimal pain, which continued about 1 week. Drainage and tissue damage were minimal or mild in all groups and disappeared within 3 weeks in the first and second groups but were prolonged to 6 weeks in the third group.CONCLUSION. The success rate of 30-second application is significantly lower than 1-minute and 2-minute applications. Although the success rates of the latter two procedures are similar, the prolonged healing time is the disadvantage of the 2-minute application. We conclude that 1-minute application of 10% sodium hydroxide is simple, safe, and highly effective for the treatment of ingrown nails.

Section: Discussionmentioning

confidence: 99%

Sodium Hydroxide Chemical Matricectomy for the Treatment of Ingrown Toenails: Comparison of Three Different Application Periods

Koçyiğit

Bostancı

Özdemir

et al. 2006

“…1 The most common mistake in nail cutting is deep cutting of the nail corners. 4,5 Hypertrophic granulation tissue in the nail folds is considered to be the main problem with ingrown nails. The growth of the nail into the the soft tissue starts the formation of granulation tissue.…”

mentioning

confidence: 99%

Comparison of Effectiveness of Electrocautery and Cryotherapy in Partial Matrixectomy After Partial Nail Extraction in the Treatment of Ingrown Nails

Küçüktaş¹,

Kutlubay

Yardımcı

et al. 2013

“…There is no agreement on the best method to manage children with onychocryptosis. Wedge resection of the offending nail edge, the affected nail wall, and the adjacent matrix bed with phenolization has been shown to be the technique with the lowest recurrence rate (2–5%), but a systematic review suggests that, although there are significantly fewer symptomatic recurrences than with other surgical techniques without the use of phenolization, there are more postoperative infections. Also, the conventional matricectomy method with wedge resection often results in deformities and narrowing of the nail plate .…”

Section: Discussionmentioning

confidence: 99%

“…There is no agreement on the best treatment for onychocryptosis . There are various treatments described for this condition, both conservative and surgical, with a recurrence rate of 2%–73% …”

mentioning

confidence: 99%

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

Pérez¹,

Maul²,

Heusser³

et al. 2013