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Subungual exostosis: a simple technique of excision
H Multhopp-Stephens1, A K Walling
1Tampa Orthopaedic Program, Florida, USA.
Foot & Ankle International
|February 1, 1995
Summary
Subungual exostosis, a benign bone growth, can recur if not fully removed. A simple excision technique in five patients showed excellent cosmetic nail outcomes and no recurrences, even with partial nail bed removal.
Area of Science:
- Orthopedics
- Dermatology
- Surgical Oncology
Background:
- Subungual exostosis is a benign bone lesion affecting the distal phalanx.
- Incomplete excision is a known risk factor for recurrence of subungual exostosis.
- Treatment options aim for complete removal while minimizing functional and cosmetic deficits.
Purpose of the Study:
- To evaluate the efficacy and cosmetic outcomes of a simple surgical excision technique for subungual exostosis.
- To assess the recurrence rate following this specific surgical approach.
- To determine the impact of the technique on nail bed integrity and appearance.
Main Methods:
- A retrospective case series of five patients with subungual exostosis.
- Surgical excision of the exostosis using a described simple technique.
- Assessment of cosmetic nail appearance and clinical follow-up for recurrence.
Main Results:
- Excellent cosmetic nail appearance in four out of five patients.
- Good cosmetic nail appearance in one patient.
- No instances of recurrence were observed during the follow-up period, despite partial sacrifice of the nail bed.
Conclusions:
- The simple excision technique is effective in treating subungual exostosis.
- This method achieves favorable cosmetic outcomes for the nail.
- The technique demonstrates a low recurrence rate, suggesting complete or adequate resection.