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Updated: Jul 6, 2025

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Surgical interventions for ingrown toenail.

Shan Huang1, Jiaojiao Wang2, Zhenbing Chen2

  • 1Department of Oncology, People's Hospital of Huangpi District, Jianghan University, Wuhan 430300, China.

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|January 4, 2024
PubMed
Summary

Surgical interventions for ingrown toenails offer better outcomes for moderate to severe cases. Understanding various surgical techniques ensures optimal patient recovery and lower recurrence rates.

Keywords:
Dermatologic surgeryIngrown toenailsParonychiaSurgical intervention

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Area of Science:

  • Dermatologic Surgery
  • Podiatry

Background:

  • Paronychia, a common nail disease, often involves ingrown toenails.
  • Conservative treatments suffice for mild ingrown toenails, but surgery is needed for severe cases with granulomas.

Purpose of the Study:

  • To systematically review surgical procedures for moderate to severe ingrown toenails.
  • To guide surgeons in selecting appropriate interventions and understand their pros and cons in dermatologic surgery.

Main Methods:

  • A comprehensive literature search was conducted on PubMed/MEDLINE and Google Scholar.
  • Studies detailing surgical interventions for ingrown toenails were included.
  • Surgical steps were illustrated with schematic diagrams.

Main Results:

  • Surgical techniques are categorized into matrix resection, periungual debulking, and rotational flap.
  • Each method presents unique advantages and limitations.

Conclusions:

  • Surgical interventions yield superior outcomes, faster recovery, and reduced recurrence for moderate to severe ingrown toenails.
  • Surgeons require extensive knowledge and skill in diverse surgical techniques for effective treatment.