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Chronic paronychia treatment: Square flap technique
Luiza Ferreira Vieira d'Almeida1, Francine Papaiordanou1, Erika Araújo Machado1
1Dermatology Institute Prof. Rubem David Azulay, Nail Studies Center, Rio de Janeiro, Brazil.
Journal of the American Academy of Dermatology
|March 8, 2016
Summary
A new surgical technique effectively treats chronic paronychia by removing fibrotic tissue, preserving nailfolds, and improving symptoms. This method offers good prognosis and cosmetic results for patients with this nail condition.
Area of Science:
- Dermatology
- Surgical Innovation
Background:
- Chronic paronychia involves inflammation of periungual folds, leading to nailfold hypertrophy, cuticle absence, and onychodystrophy.
- Surgical intervention is considered for cases unresponsive to 6 months of medical treatment.
Purpose of the Study:
- To introduce a novel surgical technique for chronic paronychia.
- The technique aims to remove fibrotic tissue while preserving the proximal and lateral nailfolds, minimizing retraction and recovery time.
Main Methods:
- A case series involving 34 fingers from 9 patients treated with the new surgical technique.
- The procedure focuses on targeted fibrotic tissue removal without complete nailfold excision.
Main Results:
- Successful healing of all nailfolds without complications.
- Significant symptom relief in most patients (32/34 fingers) post-treatment.
- Preservation of ungual plate length and absence of nailfold retraction observed.
Conclusions:
- The described surgical technique serves as a viable alternative for chronic paronychia treatment.
- The study indicates a good prognosis and optimal cosmetic outcomes, though limitations include a short follow-up period and small sample size.
