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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.
Insights
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.
Background:
Ingrown toenails are a disease that often begins in childhood. It occurs as the penetration of the nail plate into the surrounding tissue as a result of various factors. Patients often report to various specialists, including podiatrists and dermatologists, at an advanced stage of this disease.
Aims:
The aim of the study is to present the effectiveness of conservative treatment methods in children with ingrown toenails.
Methods:
In this study, we presented the case of a 12-year-old boy with ingrown toenails and visible inflammation around the toenails of both feet. Taking into account Scholz's classification, the severity of the disease in the right foot was assessed as 3B, and in the left foot as 3A. Non-surgical conservative methods were used, such as cutting the wedge of the nail apparatus, applying a tamponade and implementing orthonyxia methods, which gave a quick therapeutic effect and the disappearance of unpleasant pain symptoms.
Results:
Conservative treatment methods using orthonyxia are highly effective, even in advanced stages of ingrowing nail plate. Medical procedures using conservative treatment techniques allow for quick help for pediatric patients in a safe manner and with a low risk of complications.
Conclusions:
Ingrown toenails can occur at any age, often including childhood, and conservative treatment methods should be the first possible treatment option.
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