A New Surgical Technique for the Correction of Pincer Nail Deformity

Mutaf, Mehmet; Sunay, Mahmut; Isk, Daghan

doi:10.1097/01.sap.0000245128.96037.09

Cited by 22 publications

(25 citation statements)

References 13 publications

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“…Nail grinding is one such non-invasive technique; nail grinding has been successfully used for pincer nails since 199016,17. Even though there have been reports of new surgical techniques with long lasting results19-21, many patients undergo simple nail extraction for repeat treatment. Those methods may relieve symptoms until the nail grows in again.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Study of 35 Cases of Pincer Nails

Lee

et al. 2011

Ann Dermatol

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BackgroundPincer nail is a nail deformity characterized by transverse overcurvature of the nail plate. Pincer nail can affect a patient's quality of life due to its chronic, recurrent course; however, there have been no clinical studies on the pincer nail condition in Korean patients.ObjectiveThe purpose of this study was to characterize the clinical findings and treatment of pincer nail. In addition, possible etiological factors were considered, and treatment efficacy was evaluated.MethodsThe medical records and clinical photographs of 35 patients (12 males, 23 females) who were diagnosed with pincer nail between August 1, 2005 and July 31, 2009 were studied.ResultsPatient age ranged from 10 to 77 (52.09±17.26) years, and there was a predominance of female (23 out of 35 patients, F:M=2:1). The mean duration of the disorder was 7.45 years (range 0.25~40); 85% had pincer nail for at least 1 year. In addition, 40% had a history of previous treatment and recurrence. There were 82.8% patients with the common type of pincer nails. The most commonly involved nails were both great toenails. Among 35 patients, nail grinding was started in 30 patients, and 25 patients showed clinical improvement with nail grinding. The width index increased and the height index decreased after treatment. The mean follow up period was 8.42 months (range 1~27), and 7 patients showed recurrence after 8.8 months (range 2~20). Among 35 patients, 5 patients were treated with nail extraction with matricectomy, and the symptoms resolved immediately. The mean follow up period was 7.6 months (range 0~19), and recurrence was not observed. Onychomycosis was also present in 37.1% of patients, and itraconazole pulse therapy for 3 months was added.ConclusionThe results of this study demonstrate the clinical features of pincer nail in Korean patients. The findings show that the common type of pincer nail was most common, and nail grinding as a conservative treatment greatly improved pincer nails despite a risk of recurrence. When onychomycosis was also present, oral antifungal therapy added to nail grinding resulted in a more rapid change in nail thickness and clinical improvement.

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Section: Discussionmentioning

confidence: 99%

A Clinical Study of 35 Cases of Pincer Nails

Lee

et al. 2011

Ann Dermatol

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“…Then the transposed flap was sutured with 5-0 nylon sutures to flatten and widen the nail bed in a transverse direction. The authors' method used the advantageous characteristics from the methods of Mutaf and colleagues 4 and Kasaka and Kamiishi. 19 In a retrospective study by Kim and colleagues 9 using a shape memory alloy device that was recently used for conservative treatment, they improved the mean transverse angle from 86.4 to 149°and the mean width index from 67.6 to 95.7°by the last follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] To correct pincer nail deformities, several conservative and surgical treatment methods have been suggested, with limited success. As of yet, there is no established standard method for treating pincer nail deformity.…”

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confidence: 99%

“…4,[6][7][8] Among the suggested treatments, there are several surgical procedures that can be divided into 2 groups: those that destroy the nail matrix and those that preserve it. Among the surgical category is the 5-flap Z-plastyprocedure, 4 which preserves the nail matrix but has shown a limitation in its ability to flatten the distal nail bed. To overcome this limitation, the authors modified the design of the Z-plasty to improve its ability to flatten the distal end of the nail.…”

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confidence: 99%

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Correction of Pincer Nail Deformities Using a Modified Double Z-Plasty

Cho

Lee²,

Shin³

et al. 2015

Dermatologic Surgery

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“…[1][2][3][4][5] This results in impingement of the distal nail bed between the free lateral edges of the nail plate, leading to a narrow or even obliterated nail bed. The curvature commonly increases proximally to distally, giving the nail a trumpet-like appearance.…”

mentioning

confidence: 99%