LASERS: Carbon Dioxide Laser Matricectomy

Leshin, Barry; Whitaker, Duane C.

doi:10.1111/j.1524-4725.1988.tb03386.x

Cited by 56 publications

(68 citation statements)

References 8 publications

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“…7 A method of treatment under direct visualization has also been reported in which the nail matrix area is treated by incising the dermis of the posterior nail wall to form a dermal¯ap and drawing it upward. 8 In this method, carbon dioxide laser output at 2±5 W is equivalent to that in our method, and the post-operative pain that follows high output laser irradiation is not a problem. However, the method of approach to the nail matrix where vaporization is performed differs greatly between Leshin and Whitaker's method 8 and our method.…”

Section: Tablementioning

confidence: 96%

Radical surgery for ingrown nails by partial resection of the nail plate and matrix using a carbon dioxide laser

Takahashi¹,

Narisawa

2000

Journal of Cutaneous Laser Therapy

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Section: Tablementioning

confidence: 96%

Radical surgery for ingrown nails by partial resection of the nail plate and matrix using a carbon dioxide laser

Takahashi¹,

Narisawa

2000

Journal of Cutaneous Laser Therapy

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“…It also has advantages, such as decreased postoperative hemorrhage and pain, as well as limited effects on the surrounding soft tissue. Several deleterious effects have been reported, including delayed epithelialization and prolonged soft tissue healing, lasting 3-6 weeks after the procedure (22,(32)(33)(34). There is no standard application time, technique, or chemical matricectomy procedure.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Güler¹,

Mahiroğulları²,

Mutlu³

et al. 2014

JAREM

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Objective: The most frequent nail pathology of the hallux is the ingrown toenail. In our study, we evaluated Winograd's partial matrix excision method as a treatment for unilateral ingrown hallux toenail.Methods: Winograd's partial toenail excision was performed on 239 patients (127 males, 112 females; mean age 37.4 years) with an ingrown toenail. Primary patient complaints included a painful hallux toenail, discharge, nail deformation, and difficulty walking. According to the Heifetz staging system, there were 62 patients evaluated as Stage l, 96 as Stage ll, and 81 as Stage lll. A total of 174 (74%) patients had discharge from infection. In infected cases, an antibiotic was administered until inflammatory signs and discharged ceased, at which time surgical treatment was performed. Patients' duration to return to daily living and work, recurrence ratio, satisfaction, and cosmetic issues were evaluated. The mean follow-up time was 27 months (range: 14-45 months).Results: Patients returned to daily living in 10-15 days (mean 11.3) and to work in 8.7 days (range: 6-13 days). A total of 230 patients (96.3%) were satisfied with the procedure, and 231 patients (96.6%) were satisfied with the cosmetic results. Nine patients were dissatisfied with the surgical outcome, and eight patients who experienced recurrence were dissatisfied with the cosmetic results. None of the patients experienced deep tissue infections or neurovascular complications. Conclusion:Winograd's partial matrix excision method is a beneficial surgical procedure for ingrown toenail, resulting in low recurrence and high satisfaction rates. (JAREM 2014; 1: 7-11) Key Words: Big toe, hallux, nail disorders, ingrown toenail surgery ÖZET Amaç: Tırnak batması, toplumda sık görülen ve en sık tırnak hastalığıdır. Bu çalışmada, ayak baş parmağına tek taraflı tırnak batması nedeniyle Winograd yöntemiyle kısmi matriks eksizyonu yapılan hastalarda tedavi sonuçları değerlendirildi.Yöntemler: Tırnak batması nedeniyle 239 hastaya (127 erkek, 112 kadın; ort. yaş 37,4) Winograd prosedürüne uygun olarak kısmi matriks eksizyonu uygulandı. Hastaların temel şikayetleri ayak baş parmağına ağrı, akıntı, tırnakta şekil bozukluğu ve yürüme güçlüğü idi. Heifetz'in tırnak batması evrelendirmesine göre 62 hasta evre I, 96 hasta evre II, 81 hasta evre III olarak değerlendirildi. Yüz yetmiş sekiz (%74) hastada enfeksiyon zemininde aktif akıntı vardı. Enfekte olgularda enflamasyon bulguları ve akıntı ortadan kalkıncaya kadar antibiyoterapi uygulandı ve sonrasında cerrahi tedavi yapıldı. Hastaların günlük hayat ve işe dönüş zamanları, nüks gelişme oranı, hasta memnuniyeti ve kozmetik sorunlar açısından değerlendirildi. Ortalama takip süresi 27 ay (dağılım 14-45 ay) idi.Bulgular: Dokuz hastada (%3,7) nüks görüldü. Ortalama nüks gelişim süresi 5,6 aydı (dağılım 2-9 ay). Hastalar ortalama 6,7 günde (dağılım 3-11 gün) günlük aktivitelerine geri döndü. İşe dönüş süresi ortalama 10,2 gün (dağılım 7-16 gün) bulundu. İkiyüzotuz (%96,3) hasta yapılan müdahaleden memnundu. İki yüz ...

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“…[55,56] Moreover, the possibility to selectively direct the laser beam into the deep recesses of the lateral horns of the matrix makes laser the therapeutic modality of choice. [57] The disadvantage is that re-epithelialization and healing of the tissues by secondary intention takes 3-6 weeks. The Er: YAG laser [58] radiofrequency ablation and electrocautery are other techniques employed for matricectomy.…”

Section: Wedge Resection Of the Toenail And Nail Foldmentioning

confidence: 99%

Ingrown toenails

Khunger¹,

Kandhari²

2012

Indian J Dermatol Venereol Leprol

127

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Onychocryptosis or ingrown toenail is a very common pathology of the toenail unit, chiefly affecting adolescents and young adults. The ingrown toenail is responsible for disabling complaints like pain and difficulty in walking. It is associated with significant morbidity, hampering the quality of life as it interferes with sporting activities, school, or work. It principally occurs in the hallux. It is ascribed to poor trimming of the nails in combination with local pressure due to ill-fitting footwear, hyperhidrosis, poor foot hygiene and nail abnormalities. Pain, swelling and discharge are the main clinical features. Four stages of the condition have been described. Diagnosis is usually evident, but it should be differentiated from subungual exostosis and tumors of the nail bed. The current standard of care focuses on conservative treatment like the gutter splint technique in the initial stages, and in cases that are resistant to medical management or recurrent, surgical correction is the treatment of choice. There are various surgical techniques that are described in literature. Although there is no ideal technique, lateral nail plate avulsion with lateral matricectomy by phenol is commonly used and reported to be more effective in reducing recurrences. The aim of this review article is to focus on this common pathology of the nail, the various techniques employed in management and aid in the selection of treatment according to the stage and severity of the disease.

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LASERS: Carbon Dioxide Laser Matricectomy

Cited by 56 publications

References 8 publications

Radical surgery for ingrown nails by partial resection of the nail plate and matrix using a carbon dioxide laser

Radical surgery for ingrown nails by partial resection of the nail plate and matrix using a carbon dioxide laser

An Evaluation of Partial Matrix Excision with Winograd Method for the Surgical Treatment of Ingrown Toenails

Ingrown toenails

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