L’ongle incarné ou onychocryptose

Blatiere, Véronique

doi:10.1016/j.lpm.2014.09.002

Cited by 6 publications

(12 citation statements)

References 26 publications

(26 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…L'ongle incarné peut être associé à une paronychie, il est fréquent, particulièrement chez l'adulte et l'adolescent, et responsable de douleurs vives et d'infections locales. Chez l'enfant, il existe des causes favorisantes qui peuvent être des soins excessifs, en particulier des ongles coupés trop courts sur leurs bords latéraux ; souvent, il existe une anomalie de forme ou de position de l'ongle ou de l'orteil ce qui complique le traitement mais permet après correction de prévenir les récidives [4]. Chez le sujet âgé, une cause favorisante est souvent une hypercourbure de l'ongle.…”

Section: Show Me Your Nails!unclassified

Montrez-moi vos ongles !

Lorette¹

2014

La Presse Médicale

View full text Add to dashboard Cite

Section: Show Me Your Nails!unclassified

Montrez-moi vos ongles !

Lorette¹

2014

La Presse Médicale

View full text Add to dashboard Cite

“…Onychocryptosis or unguis incarnatus, commonly known as "ingrown nail", is an inflammatory disease of the lateral nail fold originated by the embedding of the lateral border of the nail plate into the lateral sulcus 1,2 . This condition, usually presents as tenderness and edema and occurs most frequently in toes, particularly the hallux, is most frequent among young adult males, and has a high incidence estimated at 10,000 cases per year in the UK alone [1][2][3][4][5][6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

“…In early and mild presentations conservative treatment is recommended, whereas in recurrences and more severe cases definitive surgical treatment is indicated 7,[12][13][14] . In most cases, surgical approaches involve lateral horn matricectomy in order to narrow the ungual plate 3,13,[15][16][17] . This matricectomy can be performed using different techniques, either chemical (88% phenol, sodium hydroxide 10 or 20% or trichloroacetic acid 80-100%) or surgical (excision, curettage, electrocoagulation, or laser ablation) 3,9,13,18 .…”

Section: Introductionmentioning

confidence: 99%

“…In most cases, surgical approaches involve lateral horn matricectomy in order to narrow the ungual plate 3,13,[15][16][17] . This matricectomy can be performed using different techniques, either chemical (88% phenol, sodium hydroxide 10 or 20% or trichloroacetic acid 80-100%) or surgical (excision, curettage, electrocoagulation, or laser ablation) 3,9,13,18 . In other cases, nail ingrowth is associated with considerable ungual lateral fold hypertrophy, and parcial revela-se segura, barata e eficaz, sendo a primeira linha no tratamento de onicocriptose de estadio II ou III.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Update on surgical management of onychocryptosis

Flor¹,

Vieira²

2023

PJDV

View full text Add to dashboard Cite

Onychocryptosis is an inflammatory disease of the lateral nail fold resulting from the embedding of the lateral border of the nail plate in the periungual soft tissues with consequential formation of granulation tissue and hypertrophy of the lateral nail fold. Therapeutic options include conservative and surgical strategies. There is no consensus regarding the strategy to be adopted at each stage of severity. The bibliographic research for the elaboration of this paper was obtained through PubMed and ClinicalKey platforms. Review articles, scientific articles and descriptions of clinical cases were selected. After careful and critical analysis of the selected articles, the present literature review was carried out. The therapeutic choice for each stage of onychocryptosis is complex. Conservative treatment is safe, convenient, and inexpensive, yet it only has proven efficacy in stage I. Matricectomy with phenol or other agents after partial nail avulsion proved to be safe, inexpensive, and effective, thus being the first line in the treatment of stages II or III. Soft tissue resection techniques proved to be effective in cases of marked hypertrophy of the nail folds but are more invasive and lead to a longer recovery period. In such cases, it is recommendable to perform a resection of the periungual soft tissues, with Howard-Dubois, Vandenbos and Super U techniques being the most effective and chosen according to the location and severity of the hypertrophy of the nail folds. When treating onychocryptosis, the conservative approach is indicated for stage I, while surgical treatment is indicated for stages II and III. The first line in stages II and III should be 88% phenol solution matricectomy. New prospective comparative studies and randomized trials are necessary to implement a standardized clinical approach.

show abstract

“…[ 1 ] So far, surgical management has two approaches: the techniques focused on the periungual skin and those on the nail plate. [ 2 ] Nail extraction is still highly used in clinical practice in China. But to some extent, almost all treatments including VHO-Osthold brace or Oniko nail brace were limited in special patients such as aged or diabetic patients.…”

mentioning

confidence: 99%