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Published on: November 13, 2016
Nail avulsion: indications and methods (surgical nail avulsion)
Deepika Pandhi1, Prashant Verma
1Department of Dermatology and STD, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, University of Delhi, Delhi, India. deepikapandhi@rediffmail.com
Summary
Nail avulsion, a common procedure for dermatologists, can be surgical or chemical. It aids diagnosis and treats various nail conditions like ingrown nails and fungal infections.
Area of Science:
- Dermatology
- Podiatry
- Surgical Procedures
Background:
- Nail avulsion is a common procedure globally for various medical specialists.
- It can be performed surgically or chemically using 40% urea.
- The surgical approach typically involves a distal method.
Purpose of the Study:
- To outline the indications for nail avulsion, including diagnostic and therapeutic uses.
- To detail its application in conditions such as onychocryptosis, warts, onychomycosis, chronic paronychia, nail tumors, matricectomy, and retronychia.
- To briefly describe contraindications and potential complications.
Main Methods:
- Surgical nail avulsion, often using a distal approach.
- Chemical nail avulsion utilizing 40% urea.
- Procedure typically performed under local anesthesia, potentially with epinephrine.
Main Results:
- Nail avulsion serves both diagnostic (e.g., nail bed exploration prior to biopsy) and therapeutic purposes.
- Effective for managing a range of nail pathologies.
- The procedure is generally well-tolerated under local anesthesia.
Conclusions:
- Nail avulsion is a versatile and frequently employed procedure in nail care.
- Understanding its indications, methods, and potential complications is crucial for practitioners.
- It offers significant benefits for both diagnosis and treatment of nail disorders.
