Ingrown toe-nail

Heifetz, Carl J.

doi:10.1016/s0002-9610(37)90439-2

Cited by 78 publications

(18 citation statements)

References 20 publications

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“…Recurrence of ingrown nail always stimulates the lateral nail fold, which may result in hyperplasia and even granulation tissue formation. According to the signs and symptoms, ingrown nail is classified into 3 stages 3–5 …”

Section: Discussionmentioning

confidence: 99%

Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Yang

2002

Dermatol Surg

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Section: Discussionmentioning

confidence: 99%

Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Yang

2002

Dermatol Surg

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“…1 IT has been widely studied from a clinical point of view, and several stages of development have been clearly defined. 1,2,4,5 The surgical treatment for this painful problem is the removal of the involved matrix and the surrounding inflamed tissue if there is inflammation. Nevertheless, many times, these samples are not sent to the histopathology departments.…”

Section: Discussionmentioning

confidence: 99%

Ingrown Toenail: Histopathologic and Immunohistochemical Study

Fernández-Flores

Nova²,

Salgado-Fernandez³

2009

The American Journal of Dermatopathology

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Although ingrown toenail (IT) is a common problem, the morphologic alterations presented in this condition have rarely been presented in literature. We have studied 14 cases from 12 different patients and studied the biopsies of all of them, not only with routine techniques but also with histochemical stains (Masson trichrome, periodic acid-Schiff, and Gram) and with immunohistochemical techniques mindbomb homolog-1 (MIB-1), p63, D2-40, and AE1-AE3). The patients were clinically classified into 4 stages (1, 2a, 2b, and 3). The main changes evidenced were ingrowing of the squamous epithelium (either from the matrix or mostly from the hyponichium) and chronic plasma-cell rich inflammation with prominent vascularization. The intensity of these changes varied depending on the stage: whereas they were mild in stages 1 and 2a, they were prominent in stages 2b and 3. In advanced stages, the epithelial nests showed certain dyskeratosis. The expression of MIB-1 was, nevertheless, only basal and parabasal. p63 was intensively expressed by the epithelial nests. We therefore conclude that (a) IT shows epithelial ingrowing with accompanying granulation tissue; (b) according to the clinical stage of the disease, this pattern can be more or less complex; (c) in advanced stages of IT, the pattern can mimic a well-differentiated squamous cell carcinoma; (d) MIB-1 is not helpful in distinguishing IT from squamous cell carcinoma; (e) the high expression of p63 by the ingrowing epithelium should not be the source of a misdiagnosis of malignancy.

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“…Exclusion criteria were having severe systemical illness, peripheral vascular diseases, and allergy to chemical solutions. Patients' gender, age, height, weight, BMI, stage of ingrown nail according to the Hiefetz staging system and type of ingrown nail were recorded (Heifetz, ).…”

Section: Methodsmentioning

confidence: 99%

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

Akkus

Demirseren

et al. 2018

Dermatologic Therapy

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Ingrown nail is a common problem seen in the dermatology clinics. The aim of this study is to compare the wedge resection method and chemical matricectomy with NaOH in terms of operation time, postoperative pain severity, postoperative drainage, recurrence rates, recovery time, and the effects of these two methods on Dermatology Quality of Life Index. This study included 60 patients. About 42 nail edges of 30 patients were treated with NaOH for chemical matricectomy and wedge resection was performed for 33 nail edges of 30 patients. Operation time for chemical matricectomy and wedge resection was an average of 7.66 ± 3.65 and 19.25 ± 5.54 min (p < .001). Recovery time was an average of 17.27 ± 14.22 days for chemical matricectomy and an average of 28.85 ± 17.03 days for wedge resection (p = .004). Recurrence was detected in 5.4% of the nail edges treated with chemical matricectomy and 3.6% of the nail edges treated with wedge resection (p = 1.000). Absence of differences for the recurrence rates between wedge resection method and chemical matricectomy method with NaOH shows that effectiveness of these approaches are similar. It seems that quite short operation and recovery times in the chemical matricectomy are the main advantage of the method.

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Ingrown toe-nail

Cited by 78 publications

References 20 publications

Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Ingrown Toenail: Histopathologic and Immunohistochemical Study

The treatment of ingrown nail: Chemical matricectomy with NAOH versus wedge resection

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