Muhammed Mukhtar
Abstract
An ingrown toenail is a painful disorder of the lateral nail fold associated with inflammation, infection, and granuloma formation. Various conservative modalities have been described to reduce the pressure of an ingrown nail on its gutter. The invasive option is preferred for severe ingrown nails (grade ...
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An ingrown toenail is a painful disorder of the lateral nail fold associated with inflammation, infection, and granuloma formation. Various conservative modalities have been described to reduce the pressure of an ingrown nail on its gutter. The invasive option is preferred for severe ingrown nails (grade III). Here an innovative, less invasive technique is described to treat severe grades of ingrown nails with the use of mosquito artery forceps and cyanoacrylate glue. The glue on curing becomes a hard cast that blunts and insulates the nail from its gutter, protecting the gutter from nail injury. The glue is hygroscopic and antiinfective, making the gutter dry, healthy, and maceration-free. The ingrown nail becomes asymptomatic within half an hour of splinting, and the granuloma heals within 3 to 6 weeks. Thus chemical splinting with cyanoacrylate glue is a novel and fast conservative technique for treating severe grades of ingrown toenails in outpatient care units.
Mousavi Seyed Reza; Beygi Arash Najaf; Raeeszadeh Mohammad
Volume 12, Issue 3 , 2009, , Pages 86-89
Abstract
Background: Ingrown toenails are a common condition which, when recurrent and painful, are often treated surgically. This study proposes a new simple surgical technique for ingrown toenails with good results.Method: We selected 150 patients with 185 affected toes who were surgically treated by our techniques ...
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Background: Ingrown toenails are a common condition which, when recurrent and painful, are often treated surgically. This study proposes a new simple surgical technique for ingrown toenails with good results.Method: We selected 150 patients with 185 affected toes who were surgically treated by our techniques carried out from April 1995 to March 2004. This technique consisted of marginal nail elevation combined with surgical excision of the granulation tissue. To fix the nail margin on the toe, we have done one bite suture by Nylon 3-0 and remove it after 3 weeks.Results: Recurrence occurred only in 1.08% (2 of 185 toenails), and only one toe required further surgical treatment. Failure of technique in overall is 1.7% and successful surgical treatment is over 98%.Conclusions: This study shows higher cure rate, shorter postoperative pain, lower risk of postoperative infection, and remarkable cosmetic result without any deformity because we excise the granulation tissue and elevate margin of nail over the skin with this simple technique. Therefore, this technique could be considered as an alternative method of ingrown toenail treatment.