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Accessory Structures of the Skin: Nails

Accessory Structures of the Skin: Nails

Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...

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Ingrown Toenail With Hypertrophic Skin Bridging.

Karalikkattil T Ashique¹, Puravoor Jayasree², Feroze Kaliyadan³

¹Amanza Skin Clinic, Perinthalmanna, Kerala, India.

The Australasian Journal of Dermatology

|July 7, 2025

Summary

This summary is machine-generated.

Ingrown toenails (IGTN) can present rarely, with the entire nail embedding in folds. Radiofrequency excision and chemical matricectomy effectively treated this rare ingrown toenail variant with minimal complications.

Keywords:

harpoon nail ingrown toenail nail surgery onychocryptosis skin bridging

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Area of Science:

Podiatry
Dermatology
Surgical Innovation

Background:

Onychocryptosis (ingrown toenail) is a common, painful condition.
Often caused by improper nail trimming or nail fold hypertrophy.
A rare variant involves the entire distal nail plate embedding in hypertrophic folds, creating a tunnel.

Purpose of the Study:

To describe a rare variant of onychocryptosis.
To present a successful management strategy for this specific ingrown toenail presentation.
To evaluate the efficacy of a combined surgical and chemical approach.

Main Methods:

Case report of a patient with a rare ingrown toenail variant.
Treatment involved radiofrequency excision of hypertrophic tissue.
Followed by chemical matricectomy to prevent nail regrowth.

Main Results:

Successful resolution of the ingrown toenail condition.
The combined radiofrequency and chemical matricectomy approach was highly effective.
Minimal complications were observed post-treatment.

Conclusions:

A rare ingrown toenail variant, characterized by nail plate embedding in hypertrophic folds, can be effectively managed.
Combined radiofrequency excision and chemical matricectomy offer excellent outcomes for this condition.
This approach provides a viable, minimally invasive solution for complex ingrown toenails.