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[Surgical interventions on the nail: indications and contraindications]
Zeitschrift Fur Hautkrankheiten
|March 1, 1983
Summary
Nail surgery offers diagnostic and therapeutic benefits for various nail conditions. However, simple nail plate avulsions may not be effective and can worsen certain nail deformities.
Area of Science:
- Dermatology
- Surgical Pathology
Context:
- Nail surgery is a procedure with both diagnostic and therapeutic applications.
- Indications range from unclear nail formation disturbances to neoplastic conditions.
Purpose:
- To outline the diagnostic and therapeutic indications for nail surgery.
- To detail contraindications for nail plate avulsion and its potential adverse effects.
Summary:
- Diagnostic nail biopsies are crucial for uncertain nail disorders, inflammations, pigmentations, and neoplasias.
- Absolute surgical indications include tumors, stage III ingrowing nails, panaritium, and trauma. Relative indications include onychogryphosis, fungal infections, and chronic paronychia.
- Contraindications for simple nail plate avulsion exist, particularly for malformed nails due to matrix disease, significant nail bed scarring, or ingrowing nails, as it may lead to nail thickening and overcurvature.
Impact:
- Provides a clear guideline for surgical intervention in nail disorders.
- Highlights the importance of appropriate patient selection for nail surgery to avoid iatrogenic complications.