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Ingrown Toenail in Children and Conservative Treatment Methods: A Case Report.
Michalina Jakubczak1,2,3, Klaudia Mazurek1, Dominika Wcisło-Dziadecka1
1Department of Practical Cosmetology and Skin Diagnostics, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland.
Journal of Cosmetic Dermatology
|September 3, 2025
Summary
Conservative treatments like orthonyxia are highly effective for ingrown toenails in children, even in advanced cases. These safe, non-surgical methods provide rapid symptom relief with minimal complications.
Area of Science:
- Pediatric Podiatry
- Dermatology
Background:
- Ingrown toenails (onychocryptosis) commonly affect children, often presenting at advanced stages.
- Nail plate penetration into surrounding tissue results from various etiological factors.
- Delayed diagnosis necessitates treatment from specialists like podiatrists and dermatologists.
Purpose of the Study:
- To evaluate the efficacy of conservative management for pediatric ingrown toenails.
- To highlight non-surgical interventions as a primary treatment approach.
Main Methods:
- Case study of a 12-year-old boy with bilateral ingrown toenails (Scholz classification 3A and 3B).
- Employed conservative treatments including nail edge trimming, tamponade application, and orthonyxia.
- Orthonyxia involves using devices to correct nail curvature and prevent ingrowth.
Main Results:
- Conservative methods, particularly orthonyxia, demonstrated high effectiveness in resolving ingrown toenails.
- Rapid therapeutic effects and alleviation of pain symptoms were observed.
- Safe and low-risk treatment options for pediatric patients were confirmed.
Conclusions:
- Conservative treatment for ingrown toenails is recommended as the initial therapeutic choice.
- Effective even in advanced stages, these methods offer a safe and efficient solution for children.
- Early intervention with conservative care can prevent disease progression and complications.
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