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Updated: Jan 23, 2026
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Non-Invasive Visualization of Nailbed Microvascular Morphology in Mice Using Capillaroscopy
Published on: February 28, 2025
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A novel single-stage pleated nailbed flap for toe macrodactyly debulking
Martin Van Carlen1, Parisa Moori, Pundrique Sharma
1. Department of Burns and Plastic surgery, Alder Hey Children's Hospital, Liverpool, UK.
Plastic and Reconstructive Surgery
|January 22, 2026
Summary
This study introduces a new single-stage surgical technique for macrodactyly debulking that preserves the nailbed. The method resulted in reduced toe size and excellent nail preservation in all patients.
Area of Science:
- Orthopedic surgery
- Plastic surgery
- Microsurgery
Background:
- Macrodactyly presents a surgical challenge, often requiring complex procedures.
- Existing debulking techniques may compromise nailbed viability and aesthetics.
Purpose of the Study:
- To present a novel, single-stage surgical technique for nailbed-preserving macrodactyly debulking.
- To evaluate the efficacy and outcomes of this new procedure.
Main Methods:
- A subperiosteal dissection and dermal bridge creation were utilized.
- De-epithelialization of the proximal area followed by folding the nailbed flap in a pleated fashion preserved nailbed complex.
- The technique was applied to four toes in three patients.
Main Results:
- All treated toes showed a significant reduction in size and bulk.
- Complete nail preservation was observed in all cases at a 2-year follow-up.
- The procedure demonstrated good cosmetic outcomes and high patient satisfaction.
Conclusions:
- The single-stage pleated nailbed flap is a simple and effective method for macrodactyly debulking.
- This technique ensures robust nail complex preservation, leading to favorable cosmetic results and patient satisfaction.
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