Surgical Treatment of Ingrown Toenail by Nail Fold Resection without Matricectomy

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: ingrown toenail is a common condition. Although many methods for treatment are available, there is no consensus on the optimal treatment. Aim of the study: to evaluate surgical correction of ingrown toenails via soft-tissue excision of the nail folds with preservation of the nail and its matrix. Patients and Methods: This study includes one hundred (100) patients suffering from ingrowing toenail; these patients were enrolled in a combined prospective study and had a retrospectively gathered outcome analysis at the department of surgery, AL-Azhar University Hospital from October 2017 to October 2018. Results: significantly short operative time was recorded. Postoperative wound complications occurred in 15.7%% of patients. All cases presented in grade I (33 cases), only one case, symptoms and signs of grade I recurred 1 month after operation (recurrence rate 0.9%). The 27 cases presented in grade II ingrown toenails, symptoms and signs recurred in 7 cases (recurrence rate 6.5%). The 48 cases presented in grade III, symptoms and signs recurred in 10 cases (recurrence rate 9.2%). The recurrence rate in all cases was 18 cases (16.66%). Conclusion: nail fold excision of ingrowing toenail without matrisectomy is considered as an effective and safe method for ingrown nail treatment.

Keywords

The Egyptian Journal of Hospital Medicine
Volume 73, Issue 11
October 2018
Pages 7951-7962

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