TREATMENT OF INGROWN TOE NAIL-COMPARISON OF PHENOLIZATION AFTER PARTIAL NAIL AVULSION AND PARTIAL NAIL AVULSION ALONE

Authors

  • Irshad Ali Khan
  • Syed Fahd Shah
  • Shahzad Hussain Waqar
  • Muhammad Tariq Abdullah
  • Zafar Malik
  • Muhammad Abdul Zahid

Abstract

Background: Ingrown toe nail is common problem presenting to the surgeon. Partial Nail avulsion only results in recurrence of the ingrown toe nail. The aim of this study was too see the effect of phenolization in preventing recurrence after partial nail avulsion. Methods: This was a randomized controlled trial carried out at Department of Surgery, Pakistan Institute of Medical Sciences, Islamabad. This study included 100 patients (50 in each group) with ingrown toe nail presented from November 2009 to October 2010. This study compared the application of phenol after partial avulsion with partial avulsion alone in the treatment of ingrown toe nail. Results: Sixty-nine percent of the patients were males and 31% were female. The mean age in both groups was 18 years. Patient in the partial nail avulsion with application of phenol group had less pain as compared to patient with partial nail avulsion group only. Our study has shown that patient in phenol group had less post operative infection, spike formation and recurrence as compared to wedge resection group only. Conclusion: Partial nail avulsion with phenolization is better than partial nail avulsion only for the management of the in-growing toe nail.Keywords: Ingrowing toe nail, Wedge resection, Chemical matirimectomy

References

Aksoy B, Aksoy HM, Civas E, Oc B, Atakan N. Lateral foldplasty with or without partial matricectomy for the management of ingrown toenails. Dermatol Surg 2009;35:462–8.

Chapeskie, H. "Ingrown Toenail or Overgrown Toe Skin? Alternative Treatment for Oncychocryptosis." Can Fam Physician 2008;54:1561–2.

Zuber TJ. Ingrown Toenail Removal. Am Fam Physician 2002;65:2547–50.

Córdoba-Fernández A, Rayo-Rosado R, Juárez-Jiménez JM. The use of autologous platelet gel in toenail surgery: a within-patient clinical trial. J Foot Ankle Surg 2010;49:385–9.

Noel, B. Surgical Treatment of Ingrown Toenail Without Matricectomy. Dermatol Surg 2008;34:79–83.

Di Chiacchio N, Belda W Jr, Di Chiacchio NG, Kezam Gabriel FV, de Farias DC. Nail matrix phenolization for treatment of ingrowing nail: technique report and recurrence rate of 267 surgeries. Dermatol Surg 2010;36:534–7.

Woo SH, Kim IH. Surgical pearl: nail edge separation with dental floss for ingrown toenails. J Am Acad Dermatol 2004;50:939–40.

Arai H, Arai T, Nakajima H, Haneke E. Formable acrylic treatment for ingrowing nail with gutter splint and sculptured nail. Int J Dermatol 2004;43:759–65.

Tatlican S, Eren C, Yamangokturk B, Eskioglu F Letter: Retrospective comparison of experiences with phenol and sodium hydroxide in the treatment of ingrown nail. Dermatol Surg 2010;36:432–4.

Tatlican S, Eren C, Yamangokturk B, Eskioglu F, Bostanci S. Chemical matricectomy with 10% sodium hydroxide for the treatment of ingrown toenails in people with diabetes. Dermatol Surg 2010;36:219–22.

Tatlican S, Yamangöktürk B, Eren C, Eskioğlu F, Adiyaman S. [Comparison of phenol applications of different durations for the cauterization of the germinal matrix: an efficacy and safety study]. Acta Orthop Traumatol Turc 2009;43:298–302.

Farrelly PJ, Minford J, Jones MO. Simple operative management of ingrown toenail using bipolar diathermy. Eur J PediatrSurg 2009;19:304–6.

Li Y, Yang GX. [Partial excision of nail plate, onychostroma combined with reconstruction of nail groove for the treatment of severe ingrowing nail]. Zhongguo Gu Shang 2009;22:270.

Ozawa T, Nose K, Harada T, Muraoka M, Ishii M. Patrialmatricectomy with a CO2 laser for ingrown toenail after nail matrix staining. Dermatol Surg 2005;31:302–5.

Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol 2008;59:619–26.

Erdogan FG. A simple, pain-free treatment for ingrown toenails complicated with granulation tissue. Dermatol Surg. 2006;32:1388–90.

Kosaka M, Kusuhara H, Mochizuki Y, Mori H, Isogai N. Morphologic study of normal, ingrown, and pincer nails. Dermatol Surg 2010;36:31–8.

Vanhooteghem O, Gillard P, Dezfoulian B, de la Brassinne M. Scedosporium apiospermum septicemia following a wedge excision of an ingrown toe nail. Int J Dermatol2009;48:1137–9.

Fernandez-Flores A, Martínez-Nova A, Salgado-Fernandez S. Ingrown toenail: histopathologic and immunohistochemical study. Am J Dermatopathol 2009;31:439–45.

Ozdemir E, Bostanci S, Ekmekci P, Gurgey E. Chemical matricectomy with 10% sodium hydroxide for treatment of ingrowing toenails. Dermatol Surg 2004;30:26–31.

Goldberg LH. Chemical matricectomy of nails. Dermatol Surg 2010;36:1572.

Vaccari S, Dika E, Balestri R, Rech G, Piraccini BM, Fanti PA. Partial excision of matrix and phenolic ablation for the treatment of ingrowing toenail: a 36-month follow-up of 197 treated patients.DermatolSurg 2010;36:1288–93.

Kim SH, Ko HC, Oh CK, Kwon KS, Kim MB. Trichloroacetic acid matricectomy in the treatment of ingrowing toenails. Dermatol Surg 2009;35:973–9.

Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, Hermans J, van Det RJ Partial Matrix Excision or Segmental Phenolization for Ingrowing Toenails. Arch Surg 2002;137:320–5.

Thommasen HV, Johnston CS, Thommasen A. The occasional removal of an ingrowing toenail. Can J Rural Med. 2005;10:173–80.

Published

2014-12-01

Issue

Vol. 26 No. 4 (2014): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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