Nail Plate and Bed Reconstruction for Pincer Nail Deformity

Shin, Woo Jin; Chang, Byung Kwon; Shim, Jae Woo; Park, Jun Sik; Kwon, Hwan; Kim, Gab-Lae

doi:10.4055/cios.2018.10.3.385

Cited by 13 publications

(7 citation statements)

References 8 publications

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“…In 1968, Cornelius and Shelley introduced the term ‘pincer nail’ . The incidence is about 0.9%; all sides of the great toe or other toes may be affected; however involvement of the fingers is rare . Pincer nail deformity exhibits an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail.…”

Section: Discussionmentioning

confidence: 99%

“…and will not induce detached or distorted nail plates . Further, compared with the nail plate and bed reconstruction technique the nail bed is not isolated from the bone in our method. This minimises the risk of interfering with circulation, thereby preventing necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…4 The incidence is about 0.9%; all sides of the great toe or other toes may be affected; however involvement of the fingers is rare. 5 Pincer nail deformity exhibits an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. The curvature peaks at the distal nail plate, making it easier for the nail edge to embed in the lateral nail fold, further clamping the nail bed.…”

Section: Discussionmentioning

confidence: 99%

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An L‐shaped flap for the correction of pincer nail deformity: A case report

et al. 2020

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Pincer nail deformity is characterised by an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. Although various corrective techniques have been described, there is, no consensus regarding the optimal correction method. We report a novel surgical technique for correcting pincer nail deformity in a 45-year-old male with bilateral omega-shaped pincer nail deformity of the great toes. The nail matrix on the side showing the more severe curvature was removed, and a flattened nail bed was achieved after suturing. An L-shaped skin and subcutaneous tissue flap was also created 5 mm from the junction between the side of the nail with the milder curvature and the distal nail fold. After healing, the pincer nail deformity was successfully eliminated. At the 1-year follow-up, recurrence was not observed and the appearance of toes was satisfactory. This novel surgical technique is simple, minimises damage to the surrounding tissue, avoids injuring the nail bed blood supply and has few postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An L‐shaped flap for the correction of pincer nail deformity: A case report

et al. 2020

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“…Subsequently, Miller and Levitt reported successful outcomes after using a pulsed dye laser to treat PND with multiple periungual pyogenic granulomas [43]. (Figure 8) [44]. They created a 5 mm long incision in the proximal area of the nail along the nail fold to approach the nail matrix (Figures 8(a) and 8(b)).…”

Section: Laser Surgerymentioning

confidence: 99%

Pincer Nail Deformity: Clinical Characteristics, Causes, and Managements

Huang

Yu³

et al. 2020

BioMed Research International

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A pincer nail is a common nail deformity of toenails and is characterized by nail thickening and nail plate deformation. It often causes severe pain for patients. We perform a thorough literature review and an additional review of pertinent clinical cases, aiming to provide a comprehensive review of the etiology, pathogenesis, clinical classification, differential diagnosis, and treatment of pincer nail deformity (PND). Understanding the clinical characteristics and treatment progress of a pincer nail will provide clinicians with comprehensive and evidence-based information about PND, thus allowing the selection of an appropriate treatment according to the patient’s request and the clinical manifestations of PND, which should maximize patient satisfaction.

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“…Помимо этого, развитию онихокриптоза способствуют и травма стопы, и ношение тесной обуви. Среди внутренних (генетических) факторов выделяют наследственную предрасположенность к формированию вросшего ногтя, связанную с анатомическим ростом ногтей [3,4]. Следует отметить, что не существует единого механизма возникновения вросшего ногтя.…”

Section: Introductionunclassified

Portable Diode Laser Scalpel in Treatment of Ingrown Toenails in Children

Касьян¹,

Сатаев²,

Алянгин³

2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. The ingrown nail (onychocryptosis) is a disease that is common both among children and in adult population. Despite the fact that there is a large number of methods available for the treatment of ingrown nails, a large percentage of recurrence of the disease remains unconquered. Traditional methods of treatment today are often complemented by chemical matrixectomy, cryodestruction, electrocoagulation or laser destruction of the growth zone of the nail plate piece being removed. The purpose of all of these methods of treatment is the reduction of the recurrence of the disease. This study aims to examine the possibilities of using a portable diode laser scalpel for the treatment of ingrown nails in children.Materials and methods. In this study the authors compared treatment outcomes in patients with ingrown toenails treated with the original Winograd procedure (30 patients) with those treated with the same procedure complemented by the laser destruction of the growth zone (50 patients).Results and discussion.There was one relapse case in the study group (n=50, 2%), and two — in the control group (n=30, 6.7 %). The healing period of the postoperative wound amounted to 17.3±2.05 days in the study group and to 12.25±1.24 days in control. Pain VAS scores on the first day following the surgery were 6.2±1.24 in the study group, and 5.8±0.816 in control. Staphylococcus aureus was the pathogen responsible for the local infection process in most patients with ingrown nails.Conclusion. This study demonstrates that using the method proposed results in the reduction of the risk of recurrence of the disease from 6.7% down to 2%, increasing, however, the healing time of the postoperative wound from 12.25±1.24 to 17.3±2.05 days. This makes the use of the method proposed advisable in patients with: a stage III ingrown nail; an apparent local infectious process; a recurrent ingrown nail.

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Nail Plate and Bed Reconstruction for Pincer Nail Deformity

Cited by 13 publications

References 8 publications

An L‐shaped flap for the correction of pincer nail deformity: A case report

An L‐shaped flap for the correction of pincer nail deformity: A case report

Pincer Nail Deformity: Clinical Characteristics, Causes, and Managements

Portable Diode Laser Scalpel in Treatment of Ingrown Toenails in Children

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