Chronic paronychia treatment: Square flap technique

D'Almeida, Luiza Ferreira; Papaiordanou, Francine; Machado, Erika Araujo; Loda, Guillermo; Baran, Robert; Nakamura, Robertha

doi:10.1016/j.jaad.2016.02.1154

Cited by 15 publications

(16 citation statements)

References 12 publications

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“…Nach Ausschöpfung der konservativen Therapie in Kooperation mit der Dermatologie können chirurgische Versuche erfolgen. Dazu gehören resezierende Verfahren der Haut des proximalen Nagelwalls, die Marsupialisation, die "Schweizer Rolle" [22][23][24].…”

Section: Antibiotikatherapieunclassified

Infektionen am Fingerendglied

Langer

Grünert

Spies

et al. 2021

Handchir Mikrochir Plast Chir

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ZusammenfassungInfektionen der Endglieder sind unter allen Handinfektionen am häufigsten. Unterschieden werden die dorsalen Infektionen, die sich im Bereich des Nagelwalls entwickeln und Paronychien genannt werden, und die palmaren Infektionen, die die Fingerbeere oder Fingerkuppe betreffen. Die akuten Paronychien müssen je nach Infektionsort gezielt eröffnet werden. Dazu sind genaue anatomische Kenntnisse des Nagelaufbaus erforderlich. Chronische Paronychien haben meist andere Ursachen, und die Therapie ist deutlich schwieriger. Fingerbeereninfektionen sind häufig stark schmerzhaft, da die Infektion im kompliziert aufgebauten Druckkammersystem stattfindet und eine Schwellung durch die fibrösen Septen begrenzt ist. Eine spätere Ausbreitung, wenn die Septen zerstört sind, in den Knochen oder die Beugesehnenscheide ist aber möglich.

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Section: Antibiotikatherapieunclassified

Infektionen am Fingerendglied

Langer

Grünert

Spies

et al. 2021

Handchir Mikrochir Plast Chir

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“…55 Although surgical techniques are curative and easy to perform, some disadvantages have been reported, including a delayed healing process and retraction of the PNF, which translates into unsatisfactory cosmetic outcomes. 56 More recently, a new surgical treatment named the square flap technique has been described. The objective is to minimize nail fold retraction and recovery time by removing the fibrotic tissue without complete excision of the proximal and lateral nail folds.…”

Section: Housewives Contact Dermatitismentioning

confidence: 99%

“…The objective is to minimize nail fold retraction and recovery time by removing the fibrotic tissue without complete excision of the proximal and lateral nail folds. 56…”

Section: Housewives Contact Dermatitismentioning

confidence: 99%

Painful nails: A practical approach to the diagnosis and management of painful nail conditions

et al. 2021

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Because several nail disorders share similar clinical features, their diagnosis and management can be challenging to clinicians. The physical examination may disclose localized abnormalities or point to an underlying systemic disease, requiring additional workup. Furthermore, cosmetic distress and nail-related symptoms (e.g., tingling, stinging, numbness, and pain) are common factors that influence the patient's search for medical assistance. Nail pain (i.e., onychalgia) can accompany both localized and systemic pathology. Onychalgia can be acute or chronic according to the time of evolution; patients may describe it as intermittent or constant, and as a throbbing, burning, sharp, or shooting sensation denoting the nature of the pain. It may be exacerbated by colder temperatures, touch, and increased activity (e.g., manipulating objects, walking). We present four main groups of conditions that might cause nail pain: nail tumors, nail deformities, inflammatory or infectious diseases, and external or traumatic agents. Our article includes an overview of the clinical features, as well as diagnosis and management pearls for each entity. Physicians (dermatologists and nondermatologists) should be aware that abnormalities of the ungual and subungual space are not exclusive of dermatological disorders but may also be present in noncutaneous contexts.

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“…The condition frequently relapses because the swollen nail fold remains a potential portal of entry for both microbes, as well as irritants. This can be helped by a surgical technique that removes the fibrotic tissue that is found in chronic nail fold swelling [ 97 ].…”

Section: Fungal Infections Of the Skinmentioning

confidence: 99%

Therapy of Skin, Hair and Nail Fungal Infections

Hay

2018

JoF

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Treatment of superficial fungal infections has come a long way. This has, in part, been through the development and evaluation of new drugs. However, utilising new strategies, such as identifying variation between different species in responsiveness, e.g., in tinea capitis, as well as seeking better ways of ensuring adequate concentrations of drug in the skin or nail, and combining different treatment methods, have played equally important roles in ensuring steady improvements in the results of treatment. Yet there are still areas where we look for improvement, such as better remission and cure rates in fungal nail disease, and the development of effective community treatment programmes to address endemic scalp ringworm.

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Chronic paronychia treatment: Square flap technique

Cited by 15 publications

References 12 publications

Infektionen am Fingerendglied

Infektionen am Fingerendglied

Painful nails: A practical approach to the diagnosis and management of painful nail conditions

Therapy of Skin, Hair and Nail Fungal Infections

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