Matricectomy with Electrocautery as Therapy for Recurrent Ingrown Toenail.

IF 1.4 Q3 DERMATOLOGY

Skin Appendage Disorders Pub Date : 2023-03-01 Epub Date: 2023-01-19 DOI:10.1159/000528517

Nugrohoaji Dharmawan, Putri Oktriana Rachman, Adniana Nareswari, Ummi Rinandari, Achmad Fiqri, Eka Devinta

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Abstract

Introduction: Ingrown toenails are one of the common nail problems generally occurs in the big toe area and most often occurs during productive ages. Treatment of ingrowing toenail can be chosen based on the clinical condition of the patient. Nonoperative therapy is not effective in advanced cases in terms of the severity. Improper handling will cause recurrence in this case.

Case presentation: Six of 8 patients had the ingrown toenail recurrence previously treated using the nail avulsion (onychectomy) without matricectomy. One patient was reported to have hemophilia as comorbidity. The other one had pincer nail associated with inflammatory and degenerative processes. Most patients were at modified Mozena grades III and IV ingrown toenail. Post therapy evaluation revealed no recurrence in all patients.

Conclusions: Combination of wedge resection with matricectomy using electrocautery can be applied as therapy for recurrent ingrown toenail.

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用电灼进行矩阵切除术治疗复发性嵌甲

简介嵌甲是常见的指甲问题之一，一般发生在大脚趾部位，多发于育龄期。趾甲内生的治疗方法可根据患者的临床情况选择。就严重程度而言，非手术疗法对晚期病例无效。处理不当会导致病情复发：8 名患者中，有 6 人的嵌甲复发病例曾采用过指甲剥离术（onychectomy）治疗，但未进行甲床切除术（matricectomy）。其中一名患者合并有血友病。另一名患者的钳形甲与炎症和退行性病变过程有关。大多数患者的内生趾甲属于改良莫泽纳 III 级和 IV 级。治疗后评估显示，所有患者均未复发：结论：楔形切除术与电烧垫层切除术相结合可用于治疗复发性嵌甲。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Skin Appendage Disorders DERMATOLOGY-

CiteScore

2.00

自引率

10.00%

发文量