“Super U”—A Technique for the Treatment of Ingrown Nail

Rosa, Ival Peres; Chiacchio, Nilton Di; Chiacchio, Nilton Gioia Di; Caetano, Livia de Vasconcelos Nasser

doi:10.1097/dss.0000000000000351

Cited by 16 publications

(11 citation statements)

References 2 publications

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“…Recalcitrant cases can be treated with surgical avulsion techniques such as super U or Howard-Dubois. 31,32 This study has several limitations. First of all, the data are fragmented concerning follow-up time, which impacts the possible detection of recrudescence, leading to the overestimation of cure rate in some cases: in 118 cases the follow-up was not mentioned, while in the remaining part of the cases, even when mentioned, methods and timing were often Also, the cure rate takes into account the number of relapses, which in turn depends on the follow-up period.…”

Section: Discussionmentioning

confidence: 94%

Treatment of retronychia: A systematic review and suggested treatment algorithm

Sechi

Zengarini

Piraccini

et al. 2021

Dermatologic Therapy

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Retronychia is an inflammatory disorder typical of the great toes characterized by arrested nail growth, ingrowth of the nail plate into the proximal nail fold and paronychia. There is no standardized treatment for retronychia, and its management should be weighed based on the severity stage, treatment modality, and clinical outcome. In this paper, a systematic review of the literature was performed to assess all published data regarding the treatment of retronychia. A total of 231 patients from 24 studies were included in the analysis. Conservative management was adopted in mild-intermediate forms, consisting of medical (topical or intralesional high-potency corticosteroids) and podiatric treatment (taping, clipping back the onycholytic plate, orthosis), leading to a global cure rate of 41.2%, with no reported side effects. Nonconservative management, that is, chemical or surgical avulsion of the nail plate, proved resolutive in 71.2% of cases. Surgical avulsion of the nail plate produced the highest cure rate (78.2%), but was burdened by 9.6% of long-term sequelae, mainly nail dystrophies. A decision-making algorithm was designed to give clinicians treatment indications based on the severity stage of retronychia, treatment invasiveness, and possible clinical outcomes.

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Section: Discussionmentioning

confidence: 94%

Treatment of retronychia: A systematic review and suggested treatment algorithm

Sechi

Zengarini

Piraccini

et al. 2021

Dermatologic Therapy

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“…Another surgical procedure is to resect a part of the distal wall. 1,9 These methods are very useful, but there is a possibility of postoperative scar pain due to the need for an incision at the fingertip.…”

Section: Discussionmentioning

confidence: 99%

Distal nail embedding treatment using autogenous nails

Kashiyama

Nakano

Higashi

et al. 2021

Dermatologic Therapy

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A regrowing nail tip after nail avulsion may excessively curve and invaginate into the nail bed. This is treated as a type of ingrown toenail, and is known as distal nail embedding. In most cases, further growth restores the original shape evenly over the nail bed. However, it is often painful and such cases may require treatment.We report a surgical approach that we applied to six cases of distal nail embedding involving pain or deformity of nails caused by a nail tip invaginating into the nail bed and/or cessation of forward nail growth. As our method involves removing a portion of the embedded tip edge nail and inserting the removed nail into the remaining depressed portion, the nail can grow over the bulge. In all six

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“…The “Super U” technique was previously described for the treatment of severe ingrown toenails caused by soft tissue hypertrophy of the nail folds . We emphasize that clinicians must carefully consider the indications for this procedure in patients because this procedure requires a prolonged healing period and is associated with a high risk of bleeding, pain, and infection.…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…The “Super U” technique is an effective option to treat selected patients with severe onychocryptosis. This technique was first described by Rosa in 2005 and is indicated in patients with onychocryptosis accompanied by hypertrophic nail folds . The procedure involves the creation of 2 parallel incisions to form the letter “U”, which encircles the hypertrophic tissue to be removed …”

Section: Introductionmentioning

confidence: 99%

“Super U” technique for ingrown nails: a tertiary hospital experience between 2011 and 2018

2019

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Background An ingrown nail is a common dermatological complaint observed in clinical practice. This condition (also referred to as onychocryptosis) causes pain and disability and commonly affects young adults. Treatment depends upon the stage of nail involvement in that stage 1 may often be successfully treated conservatively, whereas stages 2 and 3 usually require surgical management. The "Super U" technique is a good option to treat selected patients with severe onychocryptosis. Methods We retrospectively investigated 19 patients with stage 3 onychocryptosis who underwent 20 surgical procedures using the "Super U" technique. ResultsThe mean age was 33.5 years, and male predominance (78.9%) was observed.All patients presented with hypertrophic nail folds. Three patients developed infection attributed to poor hygiene and refusal to use antibiotics. Recurrence occurred in two of these three patients, perhaps secondary to infection and improper nail trimming after surgery.Conclusions A proper surgical technique in addition to patient compliance guidelines for postoperative care and medications are important for prompt recovery and successful outcomes.

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“Super U”—A Technique for the Treatment of Ingrown Nail

Cited by 16 publications

References 2 publications

Treatment of retronychia: A systematic review and suggested treatment algorithm

Treatment of retronychia: A systematic review and suggested treatment algorithm

Distal nail embedding treatment using autogenous nails

“Super U” technique for ingrown nails: a tertiary hospital experience between 2011 and 2018

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