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Recalcitrant ingrowing nails. Surgical approaches.

R J Siegle1, R Stewart

  • 1Department of Otolaryngology, Arthur G. James Cancer Hospital and Research Institute, Ohio State University, Columbus.

The Journal of Dermatologic Surgery and Oncology
|August 1, 1992
PubMed
Summary
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Ingrowing toenails, a common ailment causing significant morbidity, often lack adequate physician training. This overview presents an algorithm for efficient, pain-minimizing management of difficult ingrowing nails.

Area of Science:

  • Podiatry
  • Dermatology
  • Surgical Podiatry

Background:

  • Ingrowing toenails (onychocryptosis) are a prevalent condition.
  • Significant patient morbidity is associated with ingrowing toenails.
  • Limited formal training exists for many physicians managing this condition.

Purpose of the Study:

  • To provide a structured approach for managing recalcitrant ingrowing toenails.
  • To outline an efficient and pain-minimizing treatment algorithm.
  • To enhance clinical decision-making for ingrowing nail management.

Main Methods:

  • Literature review on ingrowing toenail treatments.
  • Development of a clinical management algorithm.
  • Emphasis on evidence-based and patient-centered care.

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Main Results:

  • The proposed algorithm addresses diagnosis and treatment strategies.
  • It prioritizes conservative measures before surgical intervention.
  • The algorithm aims for optimal outcomes and reduced recurrence.

Conclusions:

  • A standardized algorithm can improve the management of complex ingrowing toenails.
  • Efficient and pain-minimizing strategies are crucial for patient care.
  • Further research can refine treatment protocols for onychocryptosis.