MODIFIED SURGICAL REPAIR OF SEVERE INGROWN TOENAIL_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIA Chiyu , LI Pengcheng , WU Yujia , QIU Yabin , CAO Ling , CHANG Chunjuan , ZHANG Yangyang.

Department of Burns and Plastic Surgery, the 309th Hospital of Chinese PLA, Beijing, 100091, P.R.China. Corresponding author: JIA Chiyu, E-mail: 13911238533@163.com;

Corresponding author：

Keywords：

Severe ingrown toenail; Modified surgical repair; Recurrence

DOI：

10.7507/1002-1892.20130190

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Objective To summarize the effectiveness of modified surgical repair for severe ingrown toenail. Methods Between January 2005 and December 2010, 13 patients with severe ingrown toenail (16 toes) were treated. There were 12 males (15 toes) and 1 female (1 toe), aged 18-32 years with an average of 20 years. The disease duration was 1-15 years (mean, 2 years and 9 months). All affected toes were great toes. Ingrown toenail occurred bilaterally in 3 cases and unilaterally in 10 cases. Granulation tissue surrounding nail-edge, embedded toenail, and necrotic nail bed were completely removed; tension glue was used to make wound edge close to nail bed. Results At 3-5 days after operation, wound congestion, swelling, and exudation were improved; at 7 days, new nail bed formed; at 2 weeks, all wounds healed, and nail bed was epitheliogenic, wound edge healed well close to nail plate, and patients returned to normal life. At 6 months after nail extraction, new toenail grew and nail groove formed. No recurrent sign was found during 24-month follow-up. Conclusion Modified surgical repair is one of effective methods to treat severe ingrown toenail with the advantages of good appearance and low recurrent rate.

Citation： JIA Chiyu,LI Pengcheng,WU Yujia,QIU Yabin,CAO Ling,CHANG Chunjuan,ZHANG Yangyang.. MODIFIED SURGICAL REPAIR OF SEVERE INGROWN TOENAIL. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(7): 869-871. doi: 10.7507/1002-1892.20130190 Copy

1.	Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr, 2013, 162(2): 398-402.
2.	杨春梅, 章建林, 朱. 复杂性嵌甲症的整形外科治疗. 中华整形外科杂志, 2010, 26(1): 64-65.
3.	Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
4.	Peralta L, Morais P. Great toenail deformity—case studies. Aust Fam Physician, 2012, 41(6): 408-409.
5.	Khunger N, Kandhari R. Ingrown toenails. Indian J Dermatol Venereol Leprol, 2012, 78(2): 279-284.
6.	Lee KW, Burm JS, Yang WY. Keloid formation on the great toe after chronic paronychia secondary to ingrown nail. Int Wound J, 2013, 10(2): 200-202.
7.	Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrown toenails. Cochrane Database Syst Rev, 2012, 4: CD001541.
8.	Baran R. The nail in the elderly. Clin Dermatol, 2011, 29(1): 54-60.
9.	Seyfettinoğlu F, Sünneli Ö, Dülgeroğlu A, et al. A case of ingrown toenail accompanied by extreme soft tissue hypertrophy to the extent of invisible nail. Acta Orthop Traumatol Turc, 2012, 46(5): 407-410.
10.	Kim JY. Matrixplasty for the treatment of severe incurved toenail with growth plate deformity. J Am Podiatr Med Assoc, 2012, 102(3): 198-204.
11.	Tassara G, Machado MA, Gouthier MA. Treatment of ingrown nail: comparison of recurrence rates between the nail matrix phenolization classical technique and phenolization associated with nail matrix curettage—is the association necessary? An Bras Dermatol, 2011, 86(5): 1046-1048.
12.	Perez CI, Maul XA, Catalina Heusser M, et al. Operative technique with rapid recovery for ingrown nails with granulation tissue formation in childhood. Dermatol Surg, 2013, 39(3 Pt 1): 393-397.
13.	Küçüktas M, Kutlubay Z, Yardimci G, et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg, 2013, 39(2): 274-280.
14.	Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
15.	Zhu X, Shi H, Zhang L, et al. Lateral fold and partial nail bed excision for the treatment of recurrent ingrown toenails. Int J Clin Exp Med, 2012, 5(3): 257-261.
16.	Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl, 2010, 93(2): 99-102.
17.	Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med, 2012, 10(6): 556-559.
18.	Kayalar M, Bal E, Toros T, et al. Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int, 2011, 32(9): 888-895.

1. Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr, 2013, 162(2): 398-402.
2. 杨春梅, 章建林, 朱. 复杂性嵌甲症的整形外科治疗. 中华整形外科杂志, 2010, 26(1): 64-65.
3. Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
4. Peralta L, Morais P. Great toenail deformity—case studies. Aust Fam Physician, 2012, 41(6): 408-409.
5. Khunger N, Kandhari R. Ingrown toenails. Indian J Dermatol Venereol Leprol, 2012, 78(2): 279-284.
6. Lee KW, Burm JS, Yang WY. Keloid formation on the great toe after chronic paronychia secondary to ingrown nail. Int Wound J, 2013, 10(2): 200-202.
7. Eekhof JA, Van Wijk B, Knuistingh Neven A, et al. Interventions for ingrown toenails. Cochrane Database Syst Rev, 2012, 4: CD001541.
8. Baran R. The nail in the elderly. Clin Dermatol, 2011, 29(1): 54-60.
9. Seyfettinoğlu F, Sünneli Ö, Dülgeroğlu A, et al. A case of ingrown toenail accompanied by extreme soft tissue hypertrophy to the extent of invisible nail. Acta Orthop Traumatol Turc, 2012, 46(5): 407-410.
10. Kim JY. Matrixplasty for the treatment of severe incurved toenail with growth plate deformity. J Am Podiatr Med Assoc, 2012, 102(3): 198-204.
11. Tassara G, Machado MA, Gouthier MA. Treatment of ingrown nail: comparison of recurrence rates between the nail matrix phenolization classical technique and phenolization associated with nail matrix curettage—is the association necessary? An Bras Dermatol, 2011, 86(5): 1046-1048.
12. Perez CI, Maul XA, Catalina Heusser M, et al. Operative technique with rapid recovery for ingrown nails with granulation tissue formation in childhood. Dermatol Surg, 2013, 39(3 Pt 1): 393-397.
13. Küçüktas M, Kutlubay Z, Yardimci G, et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg, 2013, 39(2): 274-280.
14. Richert B. Surgical management of ingrown toenails—an update overdue. Dermatol Ther, 2012, 25(6): 498-509.
15. Zhu X, Shi H, Zhang L, et al. Lateral fold and partial nail bed excision for the treatment of recurrent ingrown toenails. Int J Clin Exp Med, 2012, 5(3): 257-261.
16. Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl, 2010, 93(2): 99-102.
17. Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med, 2012, 10(6): 556-559.
18. Kayalar M, Bal E, Toros T, et al. Results of partial matrixectomy for chronic ingrown toenail. Foot Ankle Int, 2011, 32(9): 888-895.

Chinese Journal of Reparative and Reconstructive Surgery

MODIFIED SURGICAL REPAIR OF SEVERE INGROWN TOENAIL

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