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Nailing the Nail Biopsy: Surgical Instruments and Their Function in Nail Biopsy Procedures
Rachel C Hill1, Apostolos Katsiaunis1, Shari R Lipner1
1Rachel C. Hill is from Weill Cornell Medical College, New York, New York. Apostolos Katsiaunis is from Tufts University School of Medicine, Boston, Massachusetts. Dr. Lipner is from the Department of Dermatology, Weill Cornell Medicine, New York.
Nail biopsies are uncommon due to limited training. This guide details instruments for nail matrix shave biopsies, addressing an educational gap for dermatologists performing nail surgeries.
Area of Science:
- Dermatology
- Surgical Anatomy
- Medical Education
Background:
- Nail surgeries, including nail biopsies, are infrequently performed.
- Dermatologists may lack familiarity with nail unit anatomy and formal training in nail biopsy techniques.
- This contributes to an educational gap in performing nail procedures.
Purpose of the Study:
- To address the educational gap in nail biopsy procedures.
- To create a detailed guide on surgical instruments for nail matrix tangential excision (shave) biopsy.
- To support dermatologists in performing common nail biopsy techniques.
Main Methods:
- The study focuses on the nail matrix tangential excision (shave) biopsy technique.
- It details the specific surgical instruments required for this procedure.
- The guide is based on techniques used in a specialized nail clinic.
Main Results:
- A comprehensive list and description of surgical instruments for nail matrix shave biopsy are provided.
- The guide clarifies the utility of each instrument in the context of nail anatomy.
- This resource aims to enhance procedural understanding and confidence.
Conclusions:
- This guide serves as an educational tool to improve dermatologists' proficiency in nail biopsies.
- By detailing necessary instruments, it aims to increase the frequency and success of nail matrix shave biopsies.
- Addressing the educational gap can lead to better patient care in dermatologic surgery.

