Nail Surgery for Beginners

Gür, G.

doi:10.4274/turkderm.44.123

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Tırnak plağına yapışan vasküler düz bir yüzeydir ve uzunlamasına epidermal kabartıdan ve dermal papillardan oluşur. Tırnak yatağının sonlandığı ve normal epidermisin başladığı tırnak plağının altındaki alan hiponişyum olarak adlandırılır (9).…”

Section: şEkil 1 Tırnak Anatomisiunclassified

Adli Toksikolojik Analizlerde Alternatif Örnek: Tırnak

Özşeker

Dağlioğlu

2018

Bull Leg Med

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Son zamanlarda hassas ve seçici analitik tekniklerin gelişmesiyle beraber alternatif biyolojik örneklerin kullanımı artmıştır. Özellikle dekompoze ve pütrifiye olmuş postmortem vakalarda ya da kan veya idrar örneklerinin alınamadığı durumlarda saç ve tırnak gibi keratin yapılı biyolojik örnekler adli ve klinik toksikologların ilgisini çekmiştir. İlaçlar, kimyasallar, uyutucu-uyuşturucu maddeler, ağır metaller uzun dönem saçta ve tırnakta birikebilmektedir. Geçmişe dönük kullanımda iyi bir belirteç olan saç örneğinin yetersiz olduğu durumlarda toksikolojik analiz için tırnak örneği yararlı olabilmektedir. Tırnak matrisinin kompleks yapısı ve tırnakta tespit edilen ilaç konsantrasyonunun düşük olması nedeniyle numune hazırlama işlemi ve kullanılacak olan analitik yöntemler önemlidir. Bu çalışmada toksikolojik analizlerde alternatif olarak kullanılan tırnağın anatomik yapısı, tırnak analizlerindeki analitik yöntemler, tırnak kullanımın avantajları/dezavantajları ve analiz sonuçların nasıl yorumlanacağı incelenecektir.

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Section: şEkil 1 Tırnak Anatomisiunclassified

Adli Toksikolojik Analizlerde Alternatif Örnek: Tırnak

Özşeker

Dağlioğlu

2018

Bull Leg Med

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“…However, appropriate nail surgery is essential to avoid misdiagnosis or delayed diagnosis and should be performed by dermatologists. Experience, a good knowledge of anatomy, pathology, and the surgical principles of nails will allow dermatologists to be successful in nail procedures [1,3].…”

Section: Introductionmentioning

confidence: 99%

Integrated Cadaveric Nail Surgery Course Improves Self-Assessed Knowledge and Competency of Dermatologists

Solak

Karakaş

Sindel

et al. 2021

Skin Appendage Disord

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Introduction: Dermatologists see many patients with nail disorders requiring surgical interventions. However, nail surgery is often found to be difficult by dermatologists. The aim of this study was to evaluate the effectiveness of an integrated nail surgery course. Methods: A nail surgery course model, combining anatomy, pathology, and dermatology with theoretical lectures and hands-on training on fresh-frozen cadaver, was designed for dermatologists. Before and after the course, the participants were asked to complete a questionnaire in which they assessed their knowledge and competence levels. Results: Twenty-eight dermatologists completed the questionnaires. The majority of the dermatologists (79.6%) had limited nail surgery experience, previously. The most commonly cited reasons for lack of knowledge or low or moderate theoretical and/or practical level of knowledge of nail surgery were not having received theoretical and practical education during dermatology residency. The median scores of self-assessed knowledge and competency improved significantly after the course (p < 0.001). The majority (82.1%) of the participants were “quite” or “very” well satisfied. Conclusion: An integrative nail surgery course model seems beneficial and encouraging for dermatologists. Organizing this type of nail surgery course, especially in medical schools using fresh-frozen cadavers, may significantly improve dermatologists’ knowledge and skills.

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“…Günümüzde sıklıkla kullanılan tedavi seçenekleri kısmi tırnak makrisektomisi (Winograd yöntemi) ile kısmi makrisektomiyle birlikte uygulanan kimyasal koterizasyondur. Kimyasal koterizasyon amacıyla en sık kullanılan ajanlar %88 fenol ile %10 sodyum hidroksittir (Tablo 1) 4,5 . Bu çalışmada tırnak batması tedavisinde kısmi matriks eksizyonu ile sodyum hidroksit kullanılarak yapılan kimyasal matrisektomi uygulamalarının, ameliyat sonrası komplikasyonlarının ve nüks oranlarının karşılaştırılması amaçlandı.…”

Section: Introductionunclassified

Comparison of the Winograd method and chemical cauterization with 10% sodium hydroxide for treating ingrown toenails

Akpolat¹,

Akpolat²,

Namdaroğlu³

et al. 2016

TURKDERM

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Background and Design:This study was performed to assess the therapeutic outcomes of the surgical method, described by Winograd and chemical cauterization with sodium hydroxide in patients with Heifetz stage 2 and 3 ingrown toenail (recurrence, complication, improvement and time to regain activity). Materials and Methods: One-hundred patients who presented to the outpatient clinics of orthopedics, general surgery and dermatology with the complaints of pain, redness and discharge in the toenail between January 2010 and January 2012 and who failed to respond to conservative treatment and were diagnosed with Heifetz stage 2 and 3 ingrown toenail. Fifty patients underwent chemical cauterization with sodium hydroxide while 50 underwent Winograd surgery. Results: The patients were followed up for a year at 2-month intervals. While no recurrence was observed in patients who received chemical cauterization, five patients who underwent Winograd surgery had recurrence (p=0.022). Three patients receiving Winograd surgery were found to have superficial wound side infection on postoperative follow-up (p=0.08). Patients, who underwent chemical cauterization with sodium hydroxide, were detected to improve and return to normal activity in a shorter period. Conclusion: Chemical cauterization of the germinal matrix with 10% sodium hydroxide is a convenient method with a low rate of complication and recurrence compared to the Winograd surgery in the treatment of ingrown toenails.

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Nail Surgery for Beginners

Cited by 5 publications

References 24 publications

Adli Toksikolojik Analizlerde Alternatif Örnek: Tırnak

Adli Toksikolojik Analizlerde Alternatif Örnek: Tırnak

Integrated Cadaveric Nail Surgery Course Improves Self-Assessed Knowledge and Competency of Dermatologists

Comparison of the Winograd method and chemical cauterization with 10% sodium hydroxide for treating ingrown toenails

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