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Updated: Aug 5, 2026

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Decompression for the management of onychocryptosis
A B Aksakal1, P Oztas, C Atahan
1School of Medicine, Department of Dermatology, Gazi University, Ankara, Turkey. akaskal@gazi.edu.tr
The Journal of Dermatological Treatment
|June 19, 2004
Summary
This study presents a new surgical technique for ingrown toenails (onychocryptosis) that preserves the nail matrix. The method achieved an 83.3% recovery rate without complications, offering a less invasive option.
Area of Science:
- Podiatry
- Dermatology
- Surgical Innovation
Background:
- Onychocryptosis (ingrown toenail) management often involves surgical interventions for severe cases.
- Existing treatments may lead to permanent nail matrix damage.
Purpose of the Study:
- To introduce a novel surgical technique for onychocryptosis.
- The primary goal was to treat ingrown toenails without causing permanent nail matrix injury.
Main Methods:
- A cohort of 22 patients (30 cases) with onychocryptosis underwent treatment.
- The technique involved unilateral soft tissue resection and partial nail plate avulsion.
- Crucially, the procedure avoided permanent matricectomy.
Main Results:
- Complete recovery was achieved in 83.3% (25 out of 30) of the cases.
- No adverse complications were reported following the surgical intervention.
Conclusions:
- The novel surgical method effectively treats onychocryptosis.
- A key advantage is the preservation of the nail matrix, avoiding permanent injury.
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