Which approach is best for subungual glomus tumors? Transungual with microsurgical dissection of the nail bed or periungual?

Madhar, Mohammed; Bouslous, Jamal; Saïdi, H.; Fikry, T.; Schuind, Frédéric

doi:10.1016/j.main.2014.09.006

Cited by 16 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mean age was found to be 37.4 years (±10.19); similar to studies reported in the literature. We noted that the most frequently involved finger was the third finger, similar to the findings of Madhar et al 17 . Love’s test was positive in all cases; cold hypersensitivity was positive in 70% (19/27) and Hildreth’s test was positive in 67% (18/27) of the cases.…”

Section: Discussionsupporting

confidence: 91%

Comparison of Subungual Glomus Tumours in Terms of Nail Aesthetics and Recurrence According to Size and Location in the Germinal or Sterile Matrix

Orman

Önal

Baydar

et al. 2022

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

Purpose The aim of this retrospective study was to investigate the effect of subungual glomus tumour size and localization in the germinal or sterile matrix on tumour recurrence and aesthetic outcomes. Patients and Methods From 35 patients who underwent surgery for a subungual glomus tumour between February 2013 and February 2020, 26 patients – 17 women and 9 men – with 27 subungual glomus tumours fulfilled the inclusion criteria. The average age was 37.3 (22–58) years. According to the patients’ surgical notes and preoperative magnetic resonance images 14 tumours were located in the sterile, 13 in the germinal matrix, and the mean size of the glomus tumours located in the germinal matrix was 4.9±1.7 mm, in the sterile matrix 3.6±1.0 mm. At the postoperative 12th month follow-up visit nail aesthetic was evaluated objectively according to Zook’s fingernail appearance scoring. In addition, patients were asked to evaluate the pain and nail appearance in the involved finger by VAS (Visual Analog Scale 0–10). Patients who experienced recurrence were noted. Results No significant Zook’s fingernail appearance score differences were observed between germinal and sterile matrix groups (p=0.097). Comparison of VAS score for pain and VAS score for nail appearance between the two groups also yielded similar values (p=0.449 and 0.395, respectively). The recurrence rate was similar at both locations (p=0.557) with 3 recurrences in the germinal, and 2 in the sterile matrix group. There was no relation between tumour size, Zook’s fingernail appearance score (p=0.874) and recurrence (p=0.784). The observed germinal matrix glomus tumours were significantly larger than the sterile matrix tumours (p=0.031). Conclusion Neither subungual glomus tumour size nor localization in the germinal or sterile matrices has different effects on nail appearance and recurrence.

show abstract

Section: Discussionsupporting

confidence: 91%

Comparison of Subungual Glomus Tumours in Terms of Nail Aesthetics and Recurrence According to Size and Location in the Germinal or Sterile Matrix

Orman

Önal

Baydar

et al. 2022

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

show abstract

“…Among these, the nail deformity in one was a minor longitudinal striation (Figure 3). Some studies did not consider minor striations as deformities (Madhar et al., 2015). If minor striations were not considered to be nail deformities, postsurgical nail deformities would have been observed for one patient in this study.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting surgical outcomes of digital glomus tumour: a multicentre study

Kim

Park

et al. 2018

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Moon et al. (2004) noticed up to 19% of deformities that were actually distal nail splits, whereas longitudinal striations were not considered as nail deformities by others (Madhar et al., 2015). To perform a minimally invasive transungual approach, Ekin et al.…”

Section: Discussionmentioning

confidence: 97%

The ‘shark mouth’ flap approach for digital glomus tumours in 24 patients: technique and clinical outcomes

Asmar

Mati

Pop

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

This retrospective, single-centre study was carried out on patients with digital subungual glomus tumours. We describe a subperiosteal approach with a ‘shark mouth’ flap containing the nail plate and nail bed as a single unit, providing ideal exposure and easy access to the tumour. It combines the advantages of the transungual and lateral approaches, whether the subungual tumours are located centrally, peripherally or under the germinal matrix. The ‘shark mouth’ flap approach was used by the same surgeon in 24 patients with solitary glomus tumours of the fingers. Clinical outcomes at the early postoperative phase and at the last follow-up were satisfactory. Pain relief and wound healing were quickly achieved. No complications, such as fingertip numbness or nail deformities, were observed, and there was only one recurrence. This approach is reliable, nail-sparing and less time-consuming than other techniques. Level of evidence: IV

show abstract

Which approach is best for subungual glomus tumors? Transungual with microsurgical dissection of the nail bed or periungual?

Cited by 16 publications

References 18 publications

Comparison of Subungual Glomus Tumours in Terms of Nail Aesthetics and Recurrence According to Size and Location in the Germinal or Sterile Matrix

Comparison of Subungual Glomus Tumours in Terms of Nail Aesthetics and Recurrence According to Size and Location in the Germinal or Sterile Matrix

Factors affecting surgical outcomes of digital glomus tumour: a multicentre study

The ‘shark mouth’ flap approach for digital glomus tumours in 24 patients: technique and clinical outcomes

Contact Info

Product

Resources

About