Ingrowing toenail is a common problem causing lot of discomfort and morbidity. Though a variety of methods have been adopted but their treatment is often frustrating for the patient as it may be associated with considerable and long-lasting morbidity. Objective: To determine the frequency of recurrence of ingrown toe nail (IGTN) after wedge excision of nail plate, nail bed and partial matricectomy. Study design: Descriptive case series Study setting: Department of plastic surgery Liaquat National Hospital Karachi Duration of study: six months from 12th Jan 2019 to 12th June 2019. Subject & Method: We reviewed case series of 99 patients with IGTN after wedge excision of nail plate, nail bed and partial matricectomy who were examined on follow ups ( at 1 month and 2 month) for the presence of signs (redness, Seropurulent discharge, pain and swelling) on clinical examination to check the recurrence (presence of any of them was labeled as recurrence). Results: 99 patients with ingrown toe nail (IGTN) were included. 34 (34.3%) were female and 65 (65.7%) were male with mean age of 42.36±8.86 years. 30 patients (30.3%) had grade-II, while 69 (69.7%) had grade-III (Heifetz grading). Recurrence of IGTN after wedge excision of nail plate, nail bed and partial matricectomy was seen in 8 patients (8.1 %). Conclusion: In conclusion surgical correction of IGTN with wedge excision of nail plate, nail bed and partial matricectomy had good results with the recurrence rate of 8%.
1. Aksoy B, Aksoy HM, Civas E, Oc B, Atakan N. Lateral fold plasty with or without partial matricectomy for the management of mgrown toenails. DermatolSurg.” Can Fam Physician 2008;54:1561-2.
2. Chapeskie, H. “Ingrown Toenail or Overgrown Toe Skin? Alternative treatment for onychocryptosis. 2009;35:462-8
3. Zuber TJ. Ingrown toenail removal. Am Fam Physician 2002;65:2547-50.
4. Cordoba-Fernandez A, Rayo-Rosado R, Juarez-Jimenez JM. The use of autologous platelet gel in toenail surgery: a within patient clinical trial. J Foot Ankle Surg 2010;49:385-9.
5. Lloyd-Davies RW, Brill GC. The aetiology and outpatient treatment of ingrowing toenails. Br J Surg 1963;50:592-7.
6. Fowler AW. Excision of the germinal matrix: a unified treatment for embedded toe-nail and onychogryphosis. Br J Surg 1958;45:382-7.
7. Lathrop RG. Ingrowing toenails: causes and treatment. Cutis 1977;20:11922.
8. Katz AM. Congenital ingrown toenails. J Am Acad Dermatol 1996;34:51920.
9. Langford DT, Burke C, Robertson K. Risk factors in onychocryptosis. Br J Surg. 1989;76(1 ):45-48.
10. Scher RK. Toenail disorders. ClinDermatol. 1983;1(1):114-24.
11. Aksakal AB, Atahan C, Oztas P, Oruk S. Minimizing postoperative drainage with 20% ferric chloride after chemical matri cectomy with phenol. DermatolSurg.2001;27(2):158-60.
12. SykesPA. Ingrowing toenails: time for critical appraisal? JR Col lSurg Ed inb 1986;31 :3004.
13. LaxtonC.Clinicalauditofforefoot surgery per formed by registered medical practitioners and podiatrists. JPublicHealthMed1995;17:311-7.
14. HeroldN, HoushianS,Riegels-NielsenP .A prospective comparison of wedge matrix resection with nail matrix penalization for
the treatment of ingrown toenail. J Foot Ankle Surg 2001;40:390-5.
15. ShaikhFM,JafriM,GiriSK,KeaneR.Efficacyo fwed geresection with phenolizationin thetreatmentofingrowingtoenails.J AmPodiat rMedAssoc 2008;;98:118-22.
16. Rounding C, Bloom fields. Surgical treatments for ingrowing toenails . Cochrane Database SystRev2005;2:CD001541.
17. Pardo Castello V, Pardo Sanson OA. Disease of the nails. 3rsded.Thomas,1960.
18. Zaias N. Thenailin health and disease. MTP,1980.
19. Lloyd- Davies RW, Brill GC. The aetiology and out-patient management of ingrowing toe-nails.BrJSurg1963;50:592-7.
20. Brearley R. Treatment of ingrowing toenail. Lancetl 958;2: 122-5.
21. Dixon GL Jr. Treatment of ingrown toenail.FootAnkle 1983 ;3 :254-60.
22. DeLauro TM .On ychocryptosis. ClinPodiatr Med Surg1995;12:201-13.
23. Lerner LH .Incurvated nail margin with associate dosseous pathology. CurrPodiatr 1962;1 l:268.
24. Fulp M, McGlamry ED: New enzyme aids phenol technique in nail surgery. J Am Podiatry Assoc 62:395, 1972
25. Acker I: Preventing the postoperativesequelae to phenolization of nail bed and matrix. J Am Podiatry As- soc 58:351, 1968
26. Anton-Athens V, Ketai DL: Use of cortisporinoticsolu- tion in phenol nail surgery. J Am Podiatric Med Assoc 75:31, 1985.
27. Rinaldi R, Sabia M, Gross J: The treatment and preven- tion of infection in phenol alcohol matricectomies. J Am Podiatry Assoc 72:435, 1982.
28. Chinn S, Jenkin W: Proximal nail groove pain associated with an exostosis. J Am Podiatr Med Assoc 76:506, 1986
29. J. Murtagh, “Patient education. Ingrowing toenails,” Australianfamily physician, vol. 22,no.2,p.206, 1993
30. R. J. Siegle and R. Stewart, “Recalcitrant ingrowing nails: surgicala pproaches,” Journal ofDermatologic Surgery and Oncology,vol. 18, no. 8, pp. 744-752, 1992.
31. D. S. Byrne and D. Caldwell, “Phenol cauterization for ingrowingtoenails: a review of five years’ experience,” British Joumalof Surgery,vol. 76,no.6,pp.598-599, 1989.
32. Palmer BV, Jones A. Ingrowing toenails: the results of treatment. Br J Surg . 1979;66:575.
33. Mousavi SR, Khoshnevice J. A new surgical technique for ingrown toenail. ISRN surgery. 2012 May 13;2012.
34. Gupta S, Sahoo B, Kumar B. Treating ingrown toenails by nail splinting with a flexible tube: an Indian experience. J Dermatol. 2001;28:485.
35. R. D. Gillette, “Practical management of ingrown toenails.,”Postgraduate Medicine, vol.84,no.8,pp. 145-151, 1988.
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