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[Ingrown toenails-options for daily practice].

O M Mainusch1, C R Löser2

  • 1Gemeinschaftspraxis Dres. Schulte/Mainusch, Blumenstr. 1, 42551, Velbert, Deutschland. dr.derm@web.de.

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Summary

Ingrown toenails are common and painful, often affecting adolescents. Selective matrix horn treatment offers a gentler surgical alternative with less pain and faster recovery compared to traditional methods.

Keywords:
Emmert plastyMatrix horn resectionNail surgeryNails, ingrownPhenolization

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Area of Science:

  • Podiatry
  • Dermatology
  • Surgical Innovation

Background:

  • Ingrown toenails present a common, painful inflammatory condition, frequently impacting adolescents.
  • Surgical intervention is often a last resort after conservative treatments fail.
  • Traditional surgical techniques like Emmert plasty are considered outdated but still in use.

Purpose of the Study:

  • To evaluate the efficacy of selective matrix horn treatment for ingrown toenails.
  • To compare the outcomes of matrix horn resection and phenol cauterization with traditional surgical methods.
  • To highlight a less invasive surgical option for improved patient recovery.

Main Methods:

  • Review of conservative and surgical treatment modalities for ingrown toenails.
  • Focus on selective lateral matrix horn resection.
  • Application of phenol cauterization for matrix ablation.

Main Results:

  • Selective matrix horn treatments offer a gentle alternative to traditional surgery.
  • These methods result in significantly less postoperative pain.
  • Patients experience a faster return to their normal quality of life.

Conclusions:

  • Selective treatment of the lateral matrix horn is an effective and beneficial approach for ingrown toenails.
  • Phenol cauterization and resection provide advantages over obsolete procedures like Emmert plasty.
  • Minimally invasive surgical options improve patient outcomes and recovery times.