Treatment Of Ingrown Nails Research Articles

Evaluation of Foot Deformities in Patients With Ingrown Nails.

Ingrown nail is a condition caused by the perforation of the periungual soft tissues on nail folds by the sides of nail plaque, causing inflammation and severe pain. Recently, the role of foot anatomical disorders in ingrown nail development has been emphasized. The main objective of this study aimed to determine whether foot deformities played significant roles in ingrown nail development with objective radiological parameters. The study included 64 patients diagnosed with clinical ingrown nail and 71 patients as controls without any ingrown nail history. In both groups, we evaluated the bilateral foot radiographs of patients with ingrown nails for hallux valgus angle (HVA), interphalangeal angle (IPA), and intermetatarsal angle (IMA) associated with hallux valgus, and the calcaneal pitch angle (CPA), talohorizontal angle (THA), and talometatarsal angle (TMA) related to pes planus. No significant difference was found in terms of hallux valgus radiological measurements of HVA, IPA and IMA as well as pes planus radiological measurements of CPA and TMA values, when compared to controls. THA was statistically significantly higher in the control group (P = 0.025). There was a moderate strength positive relationship between ingrown nail stage and measured TMA for pes planus diagnosis (rho = 0.326; P = 0.04), yet there are no significant correlations between ingrown nail stage and other angles. Therefore, we do not recommend foot anatomy correction in the prevention and treatment of ingrown nails, unless there is an accompanying foot deformity; however, pes planus is a foot deformity that can accompany patients with severely ingrown nails.

The Treatment of Ingrown Nail: Chemical Matricectomy With Phenol Versus Aesthetic Reconstruction. A Single Blinded Randomized Clinical Trial.

Background: In onychocryptosis surgery, incisional and non-incisional matricectomy is indicated according to the stage. The chemical matricectomy with 88% phenol solution is the gold standard and a wedge resection is indicated for more advanced stages. The aesthetic reconstruction has the advantages of the incisional procedure without eponychium incisions and an effectiveness similar to the chemical matricectomy with phenol. Objective: To compare the recurrence and the healing time between the chemical matricectomy with phenol and the aesthetic reconstruction. Methods: A comparative, prospective, parallel, randomized, and one-blinded clinical trial was registered with the European Clinical Trials Database (EudraCT) with identification number 2019-001294-80. Thrity-four patients (56 feet) with 112 onychocryptosis were randomized in two groups. Thirty-six were treated with chemical matricectomy with phenol and 76 with aesthetic reconstruction. Each patient was blind to the surgical procedure assigned by the investigator. The primary outcome measurements were healing time and recurrence. The secondary outcome measurements were post-surgical bleeding, pain, inflammation, and infection rate. Results: The aesthetic reconstruction procedure presents a shorter healing time (8.2 ± 1.4 days vs. 21.3 ± 3.1 days; p < 0.001) with a similar recurrence rate (p = 0.98). Post-operatory bleeding, pain, inflammation, and the infection rate did not show significant differences (p > 0.05). Conclusions: The aesthetic reconstruction presents a shorter healing time, favoring the patients’ recuperation, with a recurrence similar to the chemical matricectomy with 88% phenol solution.

ОГЛЯД ЗАГАЛЬНОПРИЙНЯТИХ МЕТОДИК ЛІКУВАННЯ ОНІХОКРИПТОЗУ

&#x0D; &#x0D; &#x0D; Introduction: According to existing views, the ingrown nail is one of the diseases that often occurs in surgical practice and causes considerable suffering in patients and significantly restricts them in the performance of professional duties; reduces the physical activity and psychoemotional tone of the patient.Aim: Given that the number of patients with ingrown nail is steadily increasing, that today there are about 200 surgeries in the ingrown nail, and many of them do not take into account the etiological and pathogenetic components. The author's team decided to research and review common methods of treatment of ingrown nailsMaterials and methods: A library fund was worked out regarding the problem of ingrown toenails. the workings out of clinics of Ukraine and other countries were worked outResults: Today, there are more than 150 methodological approaches to treating ingrown nail in the world. None of these procedures is Ideal for Achieving aesthetic results with low cost, recurrence and complication rates. Conclusions: The identified problems lead to the need to find a new less traumatic and economical method of treatment of ingrown nail, which will be characterized by rapid recovery of the patient and reduction of possible relapses.&#x0D; &#x0D; &#x0D;

Portable Diode Laser Scalpel in Treatment of Ingrown Toenails in Children

Introduction.The ingrown nail (onychocryptosis) is a disease that is common both among children and in adult population. Despite the fact that there is a large number of methods available for the treatment of ingrown nails, a large percentage of recurrence of the disease remains unconquered. Traditional methods of treatment today are often complemented by chemical matrixectomy, cryodestruction, electrocoagulation or laser destruction of the growth zone of the nail plate piece being removed. The purpose of all of these methods of treatment is the reduction of the recurrence of the disease. This study aims to examine the possibilities of using a portable diode laser scalpel for the treatment of ingrown nails in children.Materials and methods.In this study the authors compared treatment outcomes in patients with ingrown toenails treated with the original Winograd procedure (30 patients) with those treated with the same procedure complemented by the laser destruction of the growth zone (50 patients).Results and discussion.There was one relapse case in the study group (n=50, 2%), and two — in the control group (n=30, 6.7 %). The healing period of the postoperative wound amounted to 17.3±2.05 days in the study group and to 12.25±1.24 days in control. Pain VAS scores on the first day following the surgery were 6.2±1.24 in the study group, and 5.8±0.816 in control. Staphylococcus aureus was the pathogen responsible for the local infection process in most patients with ingrown nails.Conclusion. This study demonstrates that using the method proposed results in the reduction of the risk of recurrence of the disease from 6.7% down to 2%, increasing, however, the healing time of the postoperative wound from 12.25±1.24 to 17.3±2.05 days. This makes the use of the method proposed advisable in patients with: a stage III ingrown nail; an apparent local infectious process; a recurrent ingrown nail.

陥入爪・巻き爪の違いと治療 －この似て非なるもの－

陥入爪・巻き爪の違いと治療 －この似て非なるもの－

Treatment of ingrown nail

Treatment of ingrown nail

The Clinical Results of the Modified Winograd Technique in the Treatment of Ingrown Nails

The Clinical Results of the Modified Winograd Technique in the Treatment of Ingrown Nails

Korekcja wrastającego paznokcia przy użyciu lasera CO 2 – czteroletnie doświadczenia własne

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Kozłowska-Geller M. Treatment of ingrown nail using CO2 laser – four-year own experience. Medical Studies/Studia Medyczne. 2016;32(4):255-262. doi:10.5114/ms.2016.64698. APA Kozłowska-Geller, M. (2016). Treatment of ingrown nail using CO2 laser – four-year own experience. Medical Studies/Studia Medyczne, 32(4), 255-262. https://doi.org/10.5114/ms.2016.64698 Chicago Kozłowska-Geller, Monika A. 2016. "Treatment of ingrown nail using CO2 laser – four-year own experience". Medical Studies/Studia Medyczne 32 (4): 255-262. doi:10.5114/ms.2016.64698. Harvard Kozłowska-Geller, M. (2016). Treatment of ingrown nail using CO2 laser – four-year own experience. Medical Studies/Studia Medyczne, 32(4), pp.255-262. https://doi.org/10.5114/ms.2016.64698 MLA Kozłowska-Geller, Monika A. "Treatment of ingrown nail using CO2 laser – four-year own experience." Medical Studies/Studia Medyczne, vol. 32, no. 4, 2016, pp. 255-262. doi:10.5114/ms.2016.64698. Vancouver Kozłowska-Geller M. Treatment of ingrown nail using CO2 laser – four-year own experience. Medical Studies/Studia Medyczne. 2016;32(4):255-262. doi:10.5114/ms.2016.64698.

Partial matricectomy with cryotherapy in treatment of ingrown toenails.

The aim of this study was to investigate the effectiveness of cryotherapy applied for the purpose of matricectomy following partial nail removal in treatment of ingrown nails. Between 2010 and 2013, 76 ingrown toenails of 62 patients were included in this prospective study. Following partial toenail removal, matricectomy with cryotherapy was performed. The lateral nail matrix was frozen for 45 seconds with open spray and spot-freezing technique using liquid nitrogen. Patients were followed up for a mean of 17.6 months (range: 12-44 months). Wound recovery had occurred by 3-week follow-up. Recurrence in the form of spicule growth in 2 ingrown nails was detected on 6-month follow-up. Matricectomy application with cryotherapy was successful in the remaining 74 ingrown nails. Destruction of the nail matrix with cryotherapy following partial toenail removal for ingrown nails was found to be an effective treatment with a low recurrence rate.

Chemical matricectomy with sodium hydroxide: long-term follow-up results.

Chemical matricectomy with sodium hydroxide is a method being used successfully in the treatment of ingrown toenail. In this study, it was aimed to evaluate long-term recurrence rates after chemical matricectomy using sodium hydroxide application of different durations. Two hundred two patients with ingrown nail edges were treated with either 1-minute (Group 1) or 2-minute (Group 2) applications of sodium hydroxide matricectomy. All patients were followed for at least 2 years. Chemical matricectomy with sodium hydroxide was applied to a total of 585 nail edges of 202 cases. The overall recurrence rates in Group 1 and Group 2 were 6.4% and 7.1%, respectively, during the average 7.5-year follow-up period. No statistically significant differences were detected in terms of recurrence between the 2 groups (p = .73). Chemical matricectomy with sodium hydroxide is an easy method in the treatment of ingrown nails, with low morbidity and high success rates. There was no difference between 1-minute and 2-minute applications in terms of recurrence during the long-term follow-up. Chemical matricectomy with 1-minute application of sodium hydroxide showed high success in terms of long-term follow-up results.

Partial Removal of Nail Matrix in the Treatment of Ingrown Nails

The aim of this study was to compare the result of electrocauterization and curettage, which can be done with basic instruments. Patients with ingrown nail were randomized to 2 groups. In the first group, nail matrix was removed by curettage, and the second group, nail matrix was removed by electrocautery. A total of 61 patients were enrolled; 32 patients were operated by curettage, and 29 patients were operated by electrocautery. Wound infections, as early complication, were found in 15.6% (5/32) of the curettage group, 10.3% (3/29) of the electrocautery group patients each (P = .710). Nonrecurrence was observed in 93.8% (30/32) and 86.2% (25/29) of the curettage and electrocautery groups, respectively, (lower limit of 1-sided 90% confidence interval = -2.3% > -15% [noninferiority margin]). To remove nail matrix, the curettage is effective as well as the electrocauterization. Further study is required to determine the differences between the procedures.

Treatment of ingrown nail with a special device composed of shape-memory alloy

Treatment of ingrown nail with a special device composed of shape-memory alloy

Treatment of ingrown nail with a special device composed of shape‐memory alloy

Ingrown nail is a common nail problem resulting in pain and disability in daily life. Recently, a new treatment modality for an ingrown nail was reported that used a device composed of shape-memory alloy, K-D. The aim of the present study was to determine the efficacy, recurrence rate and complications of K-D. Between June 2010 and September 2012, 24 patients (31 nails) underwent treatment of symptomatic incurved nails with a K-D. Patients were evaluated at pretreatment and during every visit. The mean age of the patients involved was 43.4years. The mean period of follow up was 161days. The mean maintenance period was 41days. The right first toenail was the most common site. Almost ingrown nails healed and the nail deformity was corrected after the procedure. Among the 31 nails, seven of the ingrown nails recurred during follow up (22.6% recurrence rate). The recurrence rate of the patients with stage 1, 2 and 3 ingrown nails was 22.2%, 33.3% and 14.2%, respectively. The majority of patients were very satisfied. There were no side-effects in most patients except loss of nail in one patient. K-D has some advantages such as simple application steps, no deformity after the procedure, high patient satisfaction and obvious effect compared to other non-invasive and invasive methods.

Comparison of effectiveness of electrocautery and phenol application in partial matricectomy after partial nail extraction in the treatment of ingrown nails.

Ingrowing nail also known as onychocryptosis is a common health problem. This disease mostly affects young people, often carrying a considerable amount of socio-economic implications. It's foot problem that usually manifests as inflammation of tissue along the side of a toenail. The aim of the study was to asses and to compare effectiveness of electrocautery and phenol application in partial matrixectomy after partial nail extraction in the treatment of ingrown toenails. The group of 60 patients with ingrowing toenail which was randomized into two groups underwent partial matrixectomy in surgical outpatient clinic between 2009-2013. This group of patients was under surgical observation for 100 days in outpatient clinic. In all operated patients we obtained surgical success however we had 13 recurrences during the follow up period, 5 in the phenolization group and 8 in the electrocoagulation group. There was statistically significant difference between these two techniques, which indicated that matrix phenolization is connected with shortened healing time vs the matrix electrocoagulation.

Controversies in the Treatment of Ingrown Nails

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

Tratamento da unha encravada: comparação da taxa de cura entre a técnica de fenolização clássica e a técnica de fenolização associada à curetagem da matriz ungueal - é necessária a associação?

Some services in Brazil combine curettage of the nail matrix with phenolization in the treatment of ingrown nails, with the objective of further increasing efficacy. The objective of this research was to compare the cure rates between the phenolization technique and phenolization associated with nail matrix curettage. A retrospective study was done which included 271 cases. There was only a 5% recurrence rate for the phenolization procedure, compared with 7.7% for combined phenolization/nail matrix curettage. There was no statistically significant difference between the two techniques, which indicated that there is no need for curettage of the nail matrix. Phenolization worked even for level III disease.

Letter: Retrospective Comparison of Experiences with Phenol and Sodium Hydroxide in the Treatment of Ingrown Nail

Letter: Retrospective Comparison of Experiences with Phenol and Sodium Hydroxide in the Treatment of Ingrown Nail

Comparison of phenol applications of different durations for the cauterization of the germinal matrix: an efficacy and safety study

Partial nail avulsion with phenol matricectomy is one of the most widely performed procedures for the treatment of ingrowing nails. We compared phenol applications of different durations with respect to efficacy and safety. The study included 148 ingrowing nails (grade 2-3) of 110 patients (54 males, 56 females). The patients were randomized to three groups for 1-, 2-, and 3-minute applications of phenol cauterization of the germinal matrix following surgical removal of ingrowing nails. Postoperative evaluations were made on days 2, 10, 16, 24, and 30 for pain, drainage, and tissue damage. Recurrences were recorded during a follow-up of 24 months. Improvements in pain, drainage, and tissue damage in each group were significant (p<0.001). Time to complete healing and durations of drainage and tissue damage were significantly shorter in patients receiving 1-minute phenol application (p<0.001), and the remaining groups did not differ in this respect. The mean duration of pain was similar in three groups. While the frequencies of pain and tissue damage were similar in three phenol groups, the number of patients having drainage on day 16 was significantly lower with 1-minute phenol application (p<0.001). All recurrences appeared in the sixth month and there was no significant difference between the three groups with respect to the recurrence rate. Our findings suggest that 1-minute phenol cauterization of the germinal matrix has a better safety profile than prolonged applications in the treatment of ingrown nails.

Lateral Fold Rotational Flap Technique for Treatment of Ingrown Nail

Lateral Fold Rotational Flap Technique for Treatment of Ingrown Nail

A simple and practical method in treatment of ingrown nails: splinting by flexible tube

The ingrown nail (or onychocryptosis) is a common problem that occurs mostly in the big toe and causes high amounts of morbidity in affected patients. Many therapeutic methods have been described, most of them leading to severe damage to the nail or to frequent relapses. The nail splinting technique is a successful, simple and non-invasive therapeutic method for treating ingrown nails. To determine efficacy of the plastic tube insertion technique in patients with ingrown toenail and its use as a standard treatment. We encountered 32 cases (age range 9-67 years) of ingrown toenails in this clinical trial. All of the patients were treated using the plastic nail tube insertion technique for 7 to 15 days. Patients were examined daily for the first 3 days of treatment and were evaluated 3 and 6 months after treatment. All patients were followed up by a single observer. Recurrence was seen in only two patients after 6 months of treatment (6.25%). The low recurrence rate using the nail splinting technique in the treatment of ingrown toenail, as well as its simple application, shows that this treatment constitutes an effective, non-invasive method. It appears that this technique can substitute other more invasive surgical methods, particularly in the early stages of this disease.