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How low should you go: novel device for nail trephination
David Ciocon1, T R Gowrishankar, Terry Herndon
1Clinical Unit for Research Trials in Skin, Brigham and Women's Hospital and Massachusetts General Hospital, Boston, Massachusetts 02115, USA.
Summary
A new mesoscission device offers a controlled and well-tolerated method for nail trephination, potentially improving treatment for subungual hematomas.
Area of Science:
- Podiatry
- Dermatology
- Medical Device Technology
Background:
- Traditional nail trephination for subungual hematomas lacks standardization and precise depth control.
- Current methods may pose risks due to uncontrolled penetration of the nail bed.
Purpose of the Study:
- To evaluate the safety and tolerance of a novel mesoscission device for nail trephination.
- To assess a new microcutting technology designed for controlled nail plate perforation.
Main Methods:
- A pilot study involved 14 adult subjects with healthy toenails.
- Five holes were created in the great toenail of each subject using the mesoscission device at varying settings.
- Subjects were monitored for pain, pressure tolerance, and complications.
Main Results:
- Nail trephination using the mesoscission device was found to be controlled.
- The procedure was well-tolerated by the study participants.
Conclusions:
- Mesoscission presents a potentially controlled and practical alternative to conventional nail trephining techniques.
- Further research is needed to confirm efficacy and long-term outcomes, given the small sample size and short follow-up period.
