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Segmental phenolic ablation for ingrown toenails in general practice.
1The Ashe Street Clinic, Tralee, Co. Kerry, Republic of Ireland.
Irish Medical Journal
|January 2, 2001
Summary
Segmental Phenolic Ablation for ingrown toenails offers a high cure rate with a low relapse rate of 4.5%. This effective general practice treatment minimizes complications and recurrences, especially for first-time procedures.
Area of Science:
- Podiatric Surgery
- General Practice Procedures
Background:
- Ingrown toenails cause significant discomfort and impact daily activities.
- Traditional treatments like nail avulsion have high recurrence rates (73%).
Purpose of the Study:
- To evaluate the feasibility, cure rate, and complications of Segmental Phenolic Ablation for ingrown toenails in a general practice setting.
- To assess the efficacy of wedge resection combined with 80% phenol ablation.
Main Methods:
- Prospective analysis of 201 consecutive Wedge Resections and Phenol Ablations in 111 patients over 5.5 years.
- Procedures performed under ring block anesthesia with a focus on maintaining a bloodless field.
- Minimum six-month post-operative follow-up for all patients.
Main Results:
- Achieved a low overall relapse rate of 4.5%.
- Previously untreated cases had a significantly lower relapse rate of 2.2%.
- No major peri-operative or post-operative complications were reported; no hospital referrals were necessary.
Conclusions:
- Segmental Phenolic Ablation is a safe and effective treatment for ingrown toenails in general practice.
- This procedure is recommended as the surgical treatment of choice due to its high success and low complication rates.