Recalcitrant Ingrowing Nails Surgical Approaches

Siegle, Ronald J.; Stewart, Richard J.

doi:10.1111/j.1524-4725.1992.tb02009.x

Cited by 72 publications

(101 citation statements)

References 26 publications

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“…10,11 Simple nail edge excision has a recurrence rate of 39%, 10,12 and total nail avulsion has a recurrence rate of 83%, 13,14 whereas soft tissue resection has a cure rate of 60%. 10,14,15 The reported recurrence rate after wedge resection ranges from 12% to 30%. 10,16,17 Total nail bed ablation using the Zadik procedure is associated with considerable postoperative pain and recurrence rates ranging from 16% to 28%.…”

Section: Phenolizationmentioning

confidence: 99%

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Karaca

Dereli

2012

The Annals of Family Medicine

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PURPOSE Ingrown toenail is one of the most common nail conditions. Although many surgical treatments are described for complicated cases, recurrence of pain and postoperative disability are common. We evaluated the long-term effi cacy of proximolateral matrix partial excision followed by chemical matricectomy with phenol. METHODSWe performed 348 proximolateral partial matricectomies and phenol ablations in 225 patients with stage 2 or 3 ingrown toenail. Patients were examined weekly until full wound healing was achieved and were observed for 24 months to assess the long-term effi cacy of the treatment.RESULTS Short-term results were good. We observed only 1 recurrence during the 24-month follow-up period, at 8 months. The success rate was therefore 99.7%. No severe complications occurred. Cosmetic results were remarkably good.CONCLUSIONS Proximolateral partial matricectomy with phenol ablation is an excellent surgical method for the treatment of ingrown toenails, having low morbidity and a high success rate, even in the long term.

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Section: Phenolizationmentioning

confidence: 99%

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Karaca

Dereli

2012

The Annals of Family Medicine

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“…Bu durum, iş gücünde belirgin olarak kayba ve sosyal yaşantıda kısıtlılığa neden olmaktadır. Toplumda sık görülmesi ve iş gücü kaybına yol açması nedeniyle uygulanacak tedavilerin basit, düşük maliyetli, hızlı işe geri dönüşe olanak sağlaması ve nüks oranının düşük olması gerekliliğini ortaya koymaktadır [6][7][8] .…”

Section: Discussionunclassified

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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“…Unacceptably high recurrence rates, poor cosmetic results, and significant postoperative pain have been associated with conventional surgical treatments [7,8]. Published studies indicate that total nail avulsion is associated with a recurrence rate of 83% and simple nail edge removal has a recurrence rate of 39%, while soft tissue resection may cure as many as 60% of cases [7,8,9,10,11]. A 12-30% rate of recurrence has been reported following wedge resection [8,12,13].…”

Section: Discussionmentioning

confidence: 99%

Medical Treatment of Ingrown Toenails by Chemical Matricectomy Using Phenol

2014

J Turk Acad Dermatol

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Recalcitrant Ingrowing Nails Surgical Approaches

Cited by 72 publications

References 26 publications

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

Treatment of Ingrown Toenail With Proximolateral Matrix Partial Excision and Matrix Phenolization

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

Medical Treatment of Ingrown Toenails by Chemical Matricectomy Using Phenol

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