Treatment of ingrowing toenail with segmental chemical ablation

During a 5 year period (1992-1996) 716 segmental chemical ablations using phenol solution of 80 v/v % were carried out because of ingrowing toenail. As a control, Emmert procedure was done in 200 cases. In the present study we discuss the etiology, the surgical technique of the chemical ablation and the results of the intervention. We have found that phenol treatment results in a larger rate of symptomatic relief, lower recurrence rate and better cosmetic results could be achieved. Taking into account the good results, the low financial requirements of the procedure in the treatment of ingrowing toenail, segmental chemical ablation with phenol may be the therapy of choice of the disease.