Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Yang, Kuo‐Chia; Li, Yung-tsai

doi:10.1046/j.1524-4725.2002.01245.x

Cited by 26 publications

(29 citation statements)

References 11 publications

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“…The authors stress that the use of the CO 2 laser is recommended because of markedly reduced pain, minimal disability, and satisfactory long-term results as well as shortened operation time due to minimal bleeding [64–66]. This was, however, contradicted by other authors who found a recurrence rate of 48% for partial and 50% for total matricectomy [67, 68]. Some authors also vaporize the lateral groove and granulation tissue [69].…”

Section: Treatment Of Ingrown Toenailsmentioning

confidence: 99%

Controversies in the Treatment of Ingrown Nails

Haneke

2012

Dermatology Research and Practice

111

120

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Ingrown toenails are one of the most frequent nail disorders of young persons. They may negatively influence daily activities, cause discomfort and pain. Since more than 1000 years, many different treatments have been proposed. Today, conservative and surgical methods are available, which, when carried out with expertise, are able to cure the disease. Packing, taping, gutter treatment, and nail braces are options for relatively mild cases whereas surgery is exclusively done by physicians. Phenolisation of the lateral matrix horn is now the safest, simplest, and most commonly performed method with the lowest recurrence rate. Wedge excisions can no longer be recommended

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Section: Treatment Of Ingrown Toenailsmentioning

confidence: 99%

Controversies in the Treatment of Ingrown Nails

Haneke

2012

Dermatology Research and Practice

111

120

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“…27 Damaging the surrounding tissues thus delayed postoperative healing is the main disadvantage of phenol usage. [28][29][30] Almost the same therapeutic results have been obtained with laser matricectomy, but it is too expensive.…”

Section: Discussionmentioning

confidence: 86%

Batan Ayak Tırnağı Tedavisinde Matrikektomi ve Elektro-koterizasyonun Geriye Dönük Karşılaştırması

Okuducu¹,

Mantoğlu²

2020

Sakarya Medical Journal

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Objective Although ingrown toenails are a common health problem, there is no consensus about a standard first-choice treatment. Different non-surgical and surgical interventions for ingrown toenails are available. Our aim was to compare two surgical treatment methods for ingrown toenails; matricectomy with electrocauterization (ME) and surgical matricectomy (SM). Materials and Methods A total of 111 patients with ingrown toenail were randomized into two groups: surgical matricectomy and matricectomy with electrocauterization. All cases were evaluated 1 day, 1 week, 3 and 6 months after treatment. Recurrence rates, visual analog scale (VAS) scores were compared. Results Postoperative 1st day mean VAS score in ME group was higher than SM group (1.94 vs 0.93), and our result was statistically significant, but there was no difference in 8th day VAS scores. Mean recurrence rate was higher in ME group compared to SM group (33.96% vs 1.72%) and this result was also statistically significant. Conclusion SM is more effective method compared to ME method in terms of postoperative pain and recurrence in the treatment of ingrown toenail.

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“…Several authors have reported the use of carbon dioxide (CO 2 ) laser for performing selective matricectomy. [ 6 17 18 19 ] The CO 2 laser achieves more selective destruction of the nail matrix than chemical matricectomy, but has disadvantages such as technical difficulty, in addition to requiring prolonged healing time and achieving a poor cosmetic outcome. [ 17 19 ]…”

Section: Discussionmentioning

confidence: 99%

“…Nonselective surgical management, such as nail avulsion, wedge resection, total nail bed ablation, and soft tissue resection are usually associated with high rates of recurrence and morbidity. [ 3 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of matrix cauterization with trichloroacetic acid in the treatment of ingrown toenails

Terzi

Güvenç

Türsen

et al. 2015

Indian Dermatol Online J

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Ingrown toenail is an often painful clinical condition that usually affects the big toe. Chemical matricectomy with phenol has a low recurrence rate and good cosmetic results. However, it produces extensive tissue destruction that can result in drainage and delayed healing. Alternatives such as sodium hydroxide and trichloroacetic acid (TCA) have therefore come into vogue. A total of 39 patients with 56 ingrown toenail edges underwent chemical matricectomy with 90% TCA after partial nail avulsion. In most of the patients, adverse effects such as postoperative pain and drainage were minimal. One patient who underwent matricectomy had recurrence in a single nail edge (1.8%) at 12 months follow-up. No recurrence was observed among 38 patients during the mean follow-up period. This was considered to be statistically significant (P < 0.001). Partial nail avulsion followed by TCA matricectomy is a safe, simple, and effective method with low rates of postoperative morbidity and high rates of success.

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Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue by Partial Nail Avulsion Followed by Matricectomy with Sharpulse Carbon Dioxide Laser

Abstract: This method we advocate is convenient and effective for the treatment of recurrent ingrown great toenail associated with granulation tissue.

Cited by 26 publications

References 11 publications

Controversies in the Treatment of Ingrown Nails

Controversies in the Treatment of Ingrown Nails

Batan Ayak Tırnağı Tedavisinde Matrikektomi ve Elektro-koterizasyonun Geriye Dönük Karşılaştırması

The effectiveness of matrix cauterization with trichloroacetic acid in the treatment of ingrown toenails

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