Excision of Periungual Myxoid Cyst Using Proximal Nail Fold Flap

Abstract

Background: Periungual myxoid cyst is a benign cyst of the digits, usually occurs in hands although reported in toes as well. They are commonly located between distal nail crease and proximal nail fold. Aim: The aim of our study was to study the outcome of excision of periungual cyst using flap surgery. Methods: Clinical features of all six patients were recorded. All were treated with flap surgery. Intra operative findings and treatment outcome were recorded and analyzed. Results: We enrolled four male and two female patients with average age being 27+/-7.5 years. Presenting symptom was swelling over dorsal surface of distal interphalangeal joint. Nail plate deformity was seen in all patients. Follow up was done for 8 months to 1 year. Follow up period was un-eventful. Conclusion: Periungual myxoid cyst have characteristic clinical presentation. Excision using flap surgery is an excellent mode of treatment allowing better visualization, easy exploration and excellent outcome.