Abstract
The treatment of paronychia has usually resulted in high recurrence rates. The impingement of ingrown toenail into the lateral nail fold irritating and inducing inflammatory change of local tissue seems to be the major pathophysiology of paronychia. Traditionally, partial resection of the involved nail bed without change of the convexity of the lateral nail groove is always followed by recurrent paronychia. In our series, besides the removal of the impinged nail spur and electro-destruction of the involved germinal matrix, we reshaped the curvature of the lateral nail fold by crescent wedge resection of the edge tissue. We used this modified radical procedure on a total of sixteen patients to treat 19 lesions of recurrent paronychia, which resulted in a high cure rate.
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