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[Treatment of paronychia]
M F Langer1, E Lötters, B Wieskötter
1Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48129, Münster, Deutschland. langer.martin@ukmuenster.de
Objective:
The procedure is selected based on the stage of infection with careful removal of the focal infection in the area of the nail fold.
Indications:
All infections of the periungual area.
Contraindications:
Herpes infections [1, 12]. All purulent infections of the periungual area should be eliminated.
Surgical Technique:
Opening of the abscess, excision of the eponychium, mobilization of the nail barrier away from the nail plate, inzision of the nail barrier at a defined place, necrosectomy, irrigation, and drainage.
Postoperative Management:
Moist dressings and fingerbaths in the first few days.
Results:
In most cases, the infection heals completely without substantial scar formation.
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