Use of Wolfe Graft for the Treatment of Mucous Cysts

Jamnadas-Khoda, Benjamin; Agarwal, Rahul; Harper, Rosalyn; Page, Robert E.

doi:10.1177/1753193409103498

Cited by 9 publications

(3 citation statements)

References 14 publications

(19 reference statements)

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“…However, it was frequently excised along with the cyst. In this case, the defect was closed either by a full thickness skin graft or by a local flap . In our review, we demonstrated that surgery had the highest cure rate among the five most commonly used treatments: all surgical techniques had a cure rate superior to 90% with a mean of 95%.…”

Section: Discussionmentioning

confidence: 79%

Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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Digital mucous cysts (DMC) are benign, highly recurrent lesions of the digits. To date, there is still no treatment agreement on the treatment of DMC. Herein, we review available data on treatment modalities, including both surgical and nonsurgical techniques, and to provide a practical algorithm for the management of DMC. A systematic review was conducted using MEDLINE, EMBASE, and Cochrane databases. Articles studying the management of DMC were included in this review. A total of 40 articles were included in the review. The five most frequently used treatments for DMC were surgery (n = 849), expression of cyst content (n = 132), sclerotherapy (n = 119), corticosteroid injection (n = 108), and cryotherapy (n = 103). Surgery yielded the highest cure rate among all treatment modalities (95%) compared to sclerotherapy (77%), cryotherapy (72%), corticosteroid injection (61%), and expression of cyst content (39%) (P < 0.001). Surgery should be considered as the first-line treatment for DMC. Second-line treatments include sclerotherapy and cryotherapy. Third-line treatments include corticosteroid injections, expression of cyst content, and less-studied modalities. Surgery showed the highest cure rates. Future adequately designed randomized controlled trials are warranted to compare different treatment modalities.

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Section: Discussionmentioning

confidence: 79%

Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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“…Although the methods with shorter mean follow-up periods are greater in number, their mean follow-up periods range from 8 months to 6 years, and cure rates have been reported between 63% and 100%. 1,[7][8][9][11][12][13][14][15][16][17][18] In one review, the overall cure rate for surgical treatment was 95%. 3 Fritz and colleagues 7 claimed that the low recurrence rates reported in the literature were unrealistic owing to their short follow-up periods.…”

Section: Discussionmentioning

confidence: 99%

“…Many different techniques have been reported in the literature for the surgical treatment of DMP. [7][8][9][10] Despite the variety of techniques, reported cure rates are similar. 2 A combination of various methods, such as simple SE, excision of the cyst with peduncle ligation and osteophytectomy, excision of the head of the middle phalanx with the cyst, flap dissection from the PNF, en bloc excision of the PNF, capsulectomy, or synovectomy, followed by allowing secondary healing, primary closure, or repair with a flap or graft, has been applied in different series.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Demographic and Clinical Features of Patients With Digital Myxoid Pseudocysts and Their Response to Treatment

Güldiken

Göktay

Atış

et al. 2022

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BACKGROUND Digital myxoid pseudocysts (DMPs) are the most common benign degenerative lesions of the nail unit. There is currently no consensus regarding first-line treatments for DMPs. OBJECTIVE To evaluate demographic and clinical features and treatment methods of DMP and examine recurrence rates and factors that may affect recurrence. METHODS AND MATERIALS All patients in the authors' clinic who were diagnosed with DMP between 2013 and 2020 were included. Treatment methods were categorized as surgical excision (SE), drainage and compression (DC), simple drainage (SD), and no treatment. Responses and recurrence rates after different treatment methods were investigated. RESULTS Fifty-one lesions from 48 patients were included. Thirty-two lesions were treated with SE, 11 with DC, and 1 with SD, while 7 lesions were left untreated. The initial complete response rate after SE was significantly higher than that after DC. No statistically significant difference was found between the recurrence rates of the 2 treatment methods. Using intra-articular methylene blue during SE did not seem to affect recurrence rates. CONCLUSION Drainage and compression seems to be a safe and effective first-line treatment option for DMPs located on the proximal nail fold and distal interphalangeal joint. SE is more favorable as a second-line treatment.

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Ganglia of the Hand and Wrist

Dias

2014

Disorders of the Hand

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Use of Wolfe Graft for the Treatment of Mucous Cysts

Cited by 9 publications

References 14 publications

Management of digital mucous cysts: a systematic review and treatment algorithm

Management of digital mucous cysts: a systematic review and treatment algorithm

Evaluation of the Demographic and Clinical Features of Patients With Digital Myxoid Pseudocysts and Their Response to Treatment

Ganglia of the Hand and Wrist

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