Winograd Method Versus Winograd Method With Electrocoagulation in the Treatment of Ingrown Toenails

Acar, Erdinç

doi:10.1053/j.jfas.2017.01.010

Cited by 19 publications

(50 citation statements)

References 11 publications

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“…A total of 430 full-text articles were assessed for eligibility with 18 studies included in the final analysis ( Fig. 1) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Four studies utilized validated PROMs in the analysis: the Dermatology Life Quality Index, the European Quality of Life Questionnaire, the Manchester-Oxford Foot Questionnaire, and the Borg CR10.…”

Section: Resultsmentioning

confidence: 99%

Patient Satisfaction with Treatment for Onychocryptosis: A Systematic Review

Stewart

Algu

Kamran

et al. 2020

Skin Appendage Disord

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Onychocryptosis, or ingrown nail, is a common condition in which the nail plate penetrates the nail fold, often resulting in inflammation and pain. Nonsurgical and surgical treatments are utilized, but patient satisfaction with these therapies has not been well studied. The purpose of this study was to systematically review the available literature describing patient-reported outcomes of onychocryptosis treatments. We performed a search of the literature published prior to May 22, 2019. Articles were included in the review if primary data were presented, patient-reported outcome measures (PROMs) were used, and nail involvement was specifically examined. From the initial search, 18 studies were included in the final analysis. Patients receiving both nonsurgical and surgical interventions reported high levels of overall satisfaction; however, most studies used ad hoc measures rather than validated PROMs, providing little granular information on the impact of treatment on quality of life (QoL). This review affirms that treatment for onychocryptosis results in satisfactory outcomes for patients; however, increased efforts are needed to understand the impact of therapy on patient QoL as assessed by validated outcome measure that accurately assess patients' cosmetic, physical, and social difficulties.

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Section: Resultsmentioning

confidence: 99%

Patient Satisfaction with Treatment for Onychocryptosis: A Systematic Review

Stewart

Algu

Kamran

et al. 2020

Skin Appendage Disord

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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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“…Wound healing may take up to 6 weeks, increasing the risk of infection [10]. Recurrence rates are 5-29% but are significantly decreased when coupled with electrocoagulation of the germinal matrix [60]. One prospective case-series (N=189) showed that surgical matrix destruction without wedge excision had similar recurrence rates to those with wedge excisions [59].…”

Section: Surgical Approachesmentioning

confidence: 99%