Treatment of Subungual Glomus Tumors Using the Nail Bed Margin Approach

Wang, Pei-ji; Zhang, Yong; Zhao, Jiaju

doi:10.1111/dsu.12342

Cited by 13 publications

(16 citation statements)

References 13 publications

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“…6 In a recently described nail bed margin approach, the nail plate is removed completely to expose the tumour, and a curved incision is made near the side of the tumour along the nail bed margin. 34 Dissection is carried down to the distal phalanx, and a dorsal flap containing the nail bed and germinal matrix is raised to expose the tumour sufficiently. According to the authors this approach can expose and completely excise tumours in any subungual region.…”

Section: Surgical Approachmentioning

confidence: 99%

Glomus tumours of the hand: Review of literature

Morey

Garg

Kotwal

2016

Journal of Clinical Orthopaedics and Trauma

134

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Section: Surgical Approachmentioning

confidence: 99%

Glomus tumours of the hand: Review of literature

Morey

Garg

Kotwal

2016

Journal of Clinical Orthopaedics and Trauma

134

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“…The most common approach is the transungual approach. This approach provides a good exposure but has some disadvantages like nail deformities [1,6,[18][19][20]. To reduce the complications due to the used approach we prepared a map of the locations of glomus tumors in the nail bed and developed an algorithm for the choice of the surgical approach depending on the lo-cation of the tumor (▶ Fig.…”

Section: Discussionmentioning

confidence: 99%

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

Ci̇van

Ozaksar²,

Cavit

et al. 2020

Handchir Mikrochir Plast Chir

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Purpose Glomus tumors are rare vascular pathologies characterized by a triad of symptoms: tenderness, pain and cold intolerance. In the hand they are highly concentrated under the nail bed. In this retrospective study, we aimed to present a topographic map of the location of glomus tumors in the nail bed and a map-based surgical approach algorithm to the subungual glomus tumors. Methods We prepared a nail bed map with 6 zones and named these zones as ulnar distal, ulnar proximal, central distal, central proximal, radial distal and radial proximal. With respect to the tumor location and the used surgical approach we retrospectively evaluated the intraoperative photos and the hospital records of patients who were operated between 2008–2019 and had the pathological diagnosis of glomus tumor. The examination records of the postoperative first year were evaluated for each patient retrospectively. A descriptive statistical analysis was performed. In addition we analyzed the described surgical approaches to excise a glomus tumor in the nail bed. The described approaches and the approaches used by us were matched with the localisation of the tumors in this study developing an algorithm for the surgical approach depending on the localisation of the nail bed glomus tumor. Results Finally 44 patients had inclusion criteria. The distribution of the glomus tumor was as follows: 2 were on ulnar distal (4.5 %), 9 on ulnar proximal (20.5 %), 1 on central distal (2.3 %), 18 on central proximal (40.9 %), 4 on radial distal (9.1 %) and 10 were on the radial proximal zones (22.7 %). 4 lateral approaches, 1 nail sparing and 39 transungual approaches were performed. We had one recurrence in a male patient operated by transungual approach. Conclusion Glomus tumors are mostly located on the central proximal part of the nail bed. Our glomus map and the algorithm we described might be helpful for the selection of the surgical approach for the glomus tumor.

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“…Wang et al described a nail bed margin approach, where a curved incision was made near the side of the tumour along the nail bed margin. According to the authors, it provided good exposure of the tumour at all subungual locations while avoiding postoperative nail deformity 32. Another innovative approach was described in which the nail plate and nail bed were transected with a single incision to expose the tumour, so as to reduce trauma to the nail bed 29…”

Section: Discussionmentioning

confidence: 99%

A recurred subungual glomus tumour of the thumb

et al. 2016

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Glomus tumours are rare benign neoplasms arising from the glomus body, accounting for 1–5% of all soft-tissue tumours of the hand. The diagnosis of glomus tumour is frequently delayed, varying from 3 to 15 years. We present a case of a recurred glomus tumour of the thumb where symptoms persisted for a period of 6 years after an attempted surgical excision. The patient presented with classical symptoms of localised tenderness, cold sensitivity and excruciating pain on touch. Findings on radiograph, ultrasonography and contrast-enhanced MRI further supported the diagnosis. Complete surgical excision, the only recommended treatment, resulted in complete symptomatic relief to the patient. This case report highlights the importance of meticulous complete excision and clinical awareness of the disease among primary care physicians.

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Treatment of Subungual Glomus Tumors Using the Nail Bed Margin Approach

Cited by 13 publications

References 13 publications

Glomus tumours of the hand: Review of literature

Glomus tumours of the hand: Review of literature

Glomus tumors of the nail bed: topographic anatomy and an algorithmic approach based on the topography

A recurred subungual glomus tumour of the thumb

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