The ingrowing toenail: A modified segmental matrix excision operation

Abstract

A series of 528 patients with ingrowing toenails has been operated on under local anaesthetic by one surgeon using a simple technique in which a segment of germinal matrix is completely excised without cutting skin and with minimal interference with the nail wall. Normal footwear was worn by the fifth day in 79 per cent of patients. The recurrence rate was 1--7 per cent.

Partial Matrix Excision or Segmental Phenolization for Ingrowing Toenails

“…In the literature and in the present study, both techniques have the same recurrence rates. [4][5][6][7][8][9] In this study, a few procedures were done by different residents under direct supervision of 2 of the authors (R.H.G. and R.J.D).…”

“…Based on the literature, no preference for either method can be given. [4][5][6][7][8][9] The hypothetical advantages of partial matrix excision seem to be a faster postoperative recovery and the avoidance of the use of toxic agents (phenol). 10 To decide whether partial nail extraction with phenolization or partial excision of the matrix should be the standard treatment, we conducted a randomized, clinical trial in patients with ingrowing toenails of the hallux, with the …”

Treating Ingrown Toenails by Nail Splinting with a Flexible Tube: An Indian Experience

“…The medical literature does not seem to have any consensus as to which procedures and how radical a procedure are most appropriate when challenged with an ingrown toenail. The recurrence rates with different procedures have varied greatly in different studies published (Table 1; [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. The criteria for successful treatment of an ingrown nail laid down by Gabriel et al (14), and later modified by Foulston (3) d) The procedure should be simple.…”

Zur Behandlung des eingewachsenen Zehennagels

“…In kleineren Serien wurden immerhin 25% Rezidive beobachtet [23]. Sehr gute Ergebnisse erreichte Gabriel [16] in einer Serie von 528 Patienten mit einer Kombination aus Nagelextraktion, Drittelresektion von Nagelbett und lateraler Nagelmatrix sowie Kürettage der seitlichen hypertrophierten Weichteile mit einer Rezidivrate von 1,7%. Eine Metaanalyse verschiedener randomisierter Studien ergab für die Phenol-Matrixablation mit Nagelavulsion eine signifikant geringere Rezidivrate als für die Keilexzision, dieser positive Effekt wurde jedoch durch die höhere Infektrate bei der Phenol-Methode wieder ausgeglichen [35].…”