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Reconstruction of a functional and esthetic nail
1Division of Plastic Surgery, Southern Illinois University School of Medicine, Springfield.
Hand Clinics
|February 1, 1990
Summary
Nail bed deformities, often caused by trauma, infection, or congenital issues, can be challenging to treat. This article offers anatomical and physiological insights for managing various nail deformities, including rare cases.
Area of Science:
- Dermatology
- Orthopedics
- Plastic Surgery
Background:
- Nail bed deformities present a significant clinical challenge.
- Common etiologies include trauma, infection, tumors, ischemia, and congenital anomalies.
- Many nail deformities lack established treatment protocols in medical literature.
Purpose of the Study:
- To provide a comprehensive overview of nail bed deformities.
- To discuss various types of nail deformities and their potential causes.
- To propose evidence-based treatment strategies for diverse nail deformities, particularly those with unrecorded correction methods.
Main Methods:
- Review of common and uncommon nail bed deformities.
- Discussion of etiological factors contributing to nail deformities.
- Application of anatomical and physiological principles to suggest novel treatment approaches.
Main Results:
- Detailed examination of conditions such as nonadherence, split nail, eponychium reconstruction, crooked/hooked nail, bony irregularity, pachyonychia, ischemic deformities, and anonychia.
- Identification of deformities lacking documented treatment options.
- Formulation of suggested treatments based on nail anatomy and physiology.
Conclusions:
- Nail bed deformities encompass a wide spectrum of conditions with varied etiologies.
- A thorough understanding of nail anatomy and physiology is crucial for effective management.
- This article provides valuable insights and proposed treatments for challenging nail deformities, addressing gaps in current literature.