Partial Nail Matricectomy with Carbon Dioxide Laser

Cocunubo-Blanco, H.A.; González‐Sixto, B.; Pérez-Paredes, G.; Rodríguez-Prieto, Manuel Ángel

doi:10.1016/j.adengl.2013.11.005

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Other methods used are surgical matricectomy and ablative methods such as carbon dioxide laser [15,17], electrocautery and radiofrequency [18][19][20]. The latter techniques are more technically demanding and more expensive compared with chemical matricectomy, and hence not used as commonly.…”

Section: Discussionmentioning

confidence: 99%

Controlled trial comparing the efficacy of 88% phenol versus 100% trichloracetic acid for chemical matricectomy in the management of ingrown toenail

Moustaide¹

2019

Our Dermatol Online

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Background: The ingrown toenail results from a painful conflict between the nail plate and the adjacent soft parts. Material and methods: We conducted a prospective, comparative trial of the long-term efficacy of two methods: phenolization (88%) and matricolysis by trichloroacetic acid (TCA) (100%). Adult, consenting patients with ingrown toenails were alternately allocated into two treatment, to receive either 88% phenol or 100% TCA chemical matricectomy. The patients as well as the statistician were blinded to the agent being used. Post-procedure follow-up evaluated median duration of pain, discharge, and healing along with recurrence, if any, in both the groups. The group wise data was statistically analyzed. Results: On comparing the two groups, pain lasted 9.34 days in the TCA group and 18.62 days in the phenol group, this difference was not statistically significant (P = 0.202). The tissue condition took 9.30 days to normalize in the the TCA group, while it took 17.63 days to normalize in the phenol group. This difference was found to be statistically significant (P < 0.007). The aesthetic result and the cost of the care were similar in the 2 groups. Conclusion: Chemical matricectomy using TCA is as efficacious as phenolisation, with the advantage of faster tissue normalization.

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Section: Discussionmentioning

confidence: 99%

Controlled trial comparing the efficacy of 88% phenol versus 100% trichloracetic acid for chemical matricectomy in the management of ingrown toenail

Moustaide¹

2019

Our Dermatol Online

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“…Patients with ingrown toenail experience pain, limitation of daily activities, and topical infections. Various surgical interventions have been introduced by surgeons for treatment of ingrown toenail, such as matricectomy [ 4 , 5 ], phenolization [ 6 ], Winograd technique [ 7 , 8 ], knot technique [ 9 ], and soft tissue resection without matricectomy [ 10 , 11 ]. Each intervention has certain advantages and disadvantages based on the clinical scenario.…”

Section: Discussionmentioning

confidence: 99%

A new perspective on the nail plate for treatment of ingrown toenail

Tian

Fa-bin

et al. 2018

Dermatol Praat Concept

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BackgroundOur routine treatment for ingrown toenail was removal of the surrounding soft tissue and shortening the bone of the distal phalanx. We determined the range and volume of excision based on our experience without an objective standard and routinely performed avulsion of the nail plate.ObjectiveTo take the nail plate as an objective mark during surgical treatment of ingrown toenail to ensure accurate excision.Patients and MethodsFifteen patients with ingrown toenails were treated with this technique. We used the lateral borders of the nail plate as a landmark to determine the volume of soft tissue surrounding the nail plate and distal phalanx to be removed. No avulsion of nail plate was performed.ResultsNo recurrence was observed during the follow-up period, which ranged from 24 to 35 months (29.9 months on average). The visual analog scale for pain showed significant pain relief in the patients. The Vancouver Scar Scale showed acceptable cosmetic outcomes. The width of excised skin ranged from 3.5 to 6.2 mm (5.0 mm on average).ConclusionThe use of the lateral borders of the nail plate as a landmark for surgical intervention of ingrown toenail offered excellent outcomes and reduced loss of healthy tissues.

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“…More recently, CO 2 laser has been used for matricectomy with a success rate of 50-100% [1]. This method employs rapid, targeted destruction of the nail matrix with limited damage to surrounding tissues with little bleeding or inflammation [61]. However, its prolonged healing time with poor cosmetic outcomes may limit its usage [62].…”

Section: Surgical Approachesmentioning

confidence: 99%