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Refining Nail Surgery: Clinical Pearls and Best Practices.

Jin Woong Jung1, Jongwook Oh2, Byung Ho Oh3

  • 1Department of Dermatology, School of Medicine & Institute for Medical Science, Keimyung University, Daegu, Korea.

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Summary
This summary is machine-generated.

This review details surgical best practices for six common nail disorders, including ingrowing nails and nail unit melanoma. Advancements improve outcomes and minimize complications in nail surgery.

Keywords:
Glomus tumorMelanomaNailsNails, ingrownSurgery

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Area of Science:

  • Dermatology
  • Surgical Science
  • Oncology

Background:

  • Nails are crucial for digit protection and function.
  • Nail surgery poses challenges due to potential scarring and nail loss.
  • Recent surgical advancements enhance treatment success and reduce complications.

Purpose of the Study:

  • To review surgical management strategies for six key nail disorders.
  • To synthesize clinical pearls and best practices in nail surgery.
  • To provide a guide for practitioners on optimizing patient outcomes.

Main Methods:

  • Literature review focusing on surgical interventions for specific nail conditions.
  • Synthesis of evidence-based practices for ingrowing nails, pincer nails, onychogryphosis, glomus tumors, digital mucous cysts (DMCs), and nail unit melanoma (NUM).
  • Analysis of recent advancements and innovations in nail surgery.

Main Results:

  • Soft tissue excision is superior for recalcitrant ingrowing nails.
  • Pincer nail correction requires addressing the nail bed to prevent recurrence.
  • Onychogryphosis management involves nail grinding; glomus tumors require imaging confirmation before excision.
  • DMCs can be treated with deroofing and chemical peeling; conservative NUM surgery is viable for early-stage cases.

Conclusions:

  • Optimized surgical approaches improve outcomes for common nail disorders.
  • Integrating current evidence and innovations refines nail surgery techniques.
  • This review offers a comprehensive guide for dermatologic and surgical practitioners.