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Onychocryptosis-phenol burn fiasco
1Department of Plastic Surgery, Shotley Bridge Hospital, Shotley Bridge, County Durham DH8 0NB, UK. paulsugden@btinternet.com
Abstract:
Ingrowing toenails, onychocryptosis, are a common condition that can be treated conservatively or surgically. Conservative treatment often fails necessitating operative intervention. Surgical treatments include wedge resection, Zadik's procedure and nail removal with ablation of the germinal matrix by phenol. The following report describes a 15-year-old male footballer who sustained burns following phenol treatment, resulting in amputation of his left great toe, as well as suggestions to avoid any similar complications.
Insights
Ingrowing toenails (onychocryptosis) can require surgery when conservative methods fail. A rare complication of phenol treatment led to a footballer
Area of Science:
- Podiatric surgery
- Dermatological procedures
Background:
- Ingrowing toenails (onychocryptosis) are a prevalent condition requiring treatment.
- Surgical interventions are often necessary when conservative approaches fail.
Observation:
- A 15-year-old male footballer experienced severe burns after undergoing phenol treatment for an ingrowing toenail.
- This complication resulted in the amputation of his left great toe.
Findings:
- Phenol ablation, a surgical technique for ingrowing toenails, can lead to severe chemical burns.
- Complications from this procedure are rare but can be devastating, as demonstrated by the toe amputation.
Implications:
- Highlights the critical need for meticulous technique and careful application during phenol ablation for onychocryptosis.
- Suggests the importance of exploring alternative surgical methods or enhanced safety protocols to prevent such severe adverse events.
- Emphasizes patient education regarding potential risks associated with surgical treatments for ingrowing toenails.