Onychoclavus Due to Subungual Exostosis: Reconstruction of the Resulting Defect by Triple Volar Advancement Flap: Surgical Technique

Aksoy, Hasan Mete; Aksoy, Berna; Balcı, Mahi; Üstün, Hüseyin

doi:10.5336/medsci.2010-19078

Cited by 3 publications

(1 citation statement)

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“…Triple flap technique is an extension of lateral foldplasty technique that was described previously and used to treat ingrown toe nails [6] . Distal nail bed defect associated with resection of subungual exostosis and overlying callus was reconstructed successfully by using a modification of this triple flap technique [7] . Pincer nail deformity can be successfully treated by a similar modification of this triple flap technique [8] .…”

Section: Discussionmentioning

confidence: 99%

A novel surgical method for total nail ablation: Use of triple flap technique

Aksoy

2017

J Surg Dermatol

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<p>Total nail ablation for the treatment of onychodystrophies can be performed by using chemicals, surgical resection or laser ablation of nail matrix.<strong> </strong>A female patient with bilateral severe onychodystrophy as a result of inadvertent previous nail surgeries was treated surgically. Proximal complete nail matrix resection and distal 10 mm wide transverse strip partial nail bed resection were performed. A 5 mm wide transverse strip of nail bed was left intact proximally. Proximal nail matrix defect was closed by using the skin of proximal nail fold. The distal nail bed defect was reconstructed by using triple flap technique which was composed of a main central advancement flap containing ventral toe skin and two side flaps containing nail fold skin. The patient healed without any problem and her nail problem was treated successfully. The cosmetic appearance of her first toes was acceptable. Surgical nail ablation followed by volar skin coverage of dorsal surface of the distal phalanx bone by using triple flap technique is an effective surgical treatment method for the correction of advanced nail plate deformities requiring total nail ablation. </p>

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Section: Discussionmentioning

confidence: 99%