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Related Experiment Videos

Ingrowing toenails: improving treatment.

A L Leahy1, C I Timon, A Craig

  • 1Department of Surgery, St. James's Hospital, Dublin, Ireland.

Surgery
|May 1, 1990
PubMed
Summary
This summary is machine-generated.

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Surgical excision of ingrowing toenails with chemical ablation (phenol) or surgical excision of the nail and germinal matrix edges are effective outpatient treatments. Both methods showed comparable, superior results to simple avulsion after a 2-year follow-up.

Area of Science:

  • Podiatry
  • Surgical Procedures
  • Dermatology

Background:

  • Ingrowing toenails (onychocryptosis) are a common condition causing pain and infection.
  • Surgical intervention is often necessary for persistent or severe cases.
  • Previous treatments like simple avulsion have shown variable success rates.

Purpose of the Study:

  • To compare the efficacy of two surgical techniques for ingrowing toenails.
  • To evaluate recurrence rates and complications associated with each procedure.
  • To assess patient satisfaction and long-term outcomes.

Main Methods:

  • Randomized controlled trial involving 66 patients with ingrowing toenails.
  • Group A: Excision of nail edge and chemical ablation of germinal matrix with 70% phenol.

Related Experiment Videos

  • Group B: Surgical excision of nail and germinal matrix edges.

    • Main Results:

    • Group A: 10% recurrence, 18% asymptomatic spicules.
    • Group B: 4% recurrence, 22% asymptomatic spicules.
    • Both procedures were effective outpatient treatments, comparable in results and superior to simple avulsion at 2-year follow-up.

    Conclusions:

    • Both phenol ablation and surgical excision of the nail/germinal matrix are effective treatments for ingrowing toenails.
    • These surgical techniques offer comparable outcomes and are superior to simple nail avulsion.
    • Both procedures are suitable for outpatient management, providing pain relief and patient satisfaction.