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Ingrown Toenail Management.

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Ingrown toenails are common foot problems, especially in young men. Treatment ranges from conservative measures for mild cases to surgical interventions for severe ingrown toenails to prevent recurrence.

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Area of Science:

  • Podiatry
  • Dermatology

Background:

  • Ingrown toenails represent 20% of primary care foot issues, frequently affecting the great toe.
  • Commonly seen in young men, contributing factors include nail care habits and footwear.
  • Optimal treatment for ingrown toenails remains debated.

Purpose of the Study:

  • To review current nonsurgical and surgical treatment modalities for ingrown toenails.
  • To discuss the efficacy of various interventions in managing ingrown toenails.
  • To highlight approaches that prevent recurrence.

Main Methods:

  • Review of nonsurgical palliative measures: footwear correction, hyperhidrosis/onychomycosis management, topical steroids, and physical devices (cotton, gutter splints, nail casts, orthonyxia).
  • Description of surgical approaches: partial nail avulsion and matrixectomy (surgical, chemical, electrosurgical).

Main Results:

  • Nonsurgical treatments are suitable for mild to moderate ingrown toenails, offering immediate pain relief and alleviation.
  • Surgical interventions, particularly partial nail avulsion and matrixectomy, are more effective in preventing recurrence.
  • Surgical methods aim to eliminate nail plate-nail fold interaction, reducing trauma and inflammation.

Conclusions:

  • A range of nonsurgical options can manage mild to moderate ingrown toenails.
  • Surgical treatments, including matrixectomy, offer superior outcomes for preventing recurrent ingrown toenails.
  • Addressing contributing factors like footwear and nail care is crucial alongside treatment.