A new, quick, effective and minimally invasive treatment technique applied to ingrown toenails

Year 2022, Volume: 8 Issue: 3, 383 - 388, 04.05.2022

Zafer Şenol Taygun Gülşen

https://doi.org/10.18621/eurj.910755

Cited By: 1

Abstract

Objectives: Existing surgical and conservative treatment techniques applied to ingrown toenails remain controversial. In this study, a new minimally invasive technique for the treatment of ingrown toenails is described which was found to provide rapid healing and effective results.

Methods: The presented study includes 39 patients with ingrown toenails treated with the newly developed technique. The technique is a minimally invasive procedure in which a half groove-shaped piece obtained from the intravenous drip set plastic was placed between nail and dermis and fixed on the nail.

Results: The patients treated with this technique were followed up after one week, one month and six months. According to six-month follow-up results of the patients, achievement rate of the presented technique was found to be quite high at 80%.

Conclusions: This new technique has many advantages compared to existing ingrown toenail treatment methods. It was revealed that this method is very effective and successful by not requiring dressing, ensuring low pain, rapid recovery from the first day of the treatment, uninterrupted return to daily life, and low recurrence rate. One of the most important advantages of the technique is that it ensures high patient satisfaction by providing good functional and aesthetic results.

Keywords

Ingrown toenail, toenail, onychocryptosis, minimally invasive technique

References

• 1. DeLauro NM, DeLauro TM. Onychocryptosis. Clin Podiatr Med Surg 2004;21: 617-30.
• 2. Khunger N, Kandhari R. Ingrown toenails. Indian J Dermatol Venereol Leprol 2012;78:279-89.
• 3. Blatiere V. [Ingrown nails or onychocryptosis]. Presse Med 2014;43:1230-9. [Article in French]
• 4. Haneke E. Controversies in the treatment of ingrown nails. Dermatol Res Pract 2012;2012:783924.
• 5. Cho SY, Kim YC, Choi JW. Epidemiology and bone-related comorbidities of ingrown nail: a nationwide population-based study. J Dermatol 2018;45:1418-24.
• 6. Park DH, Singh D. The management of ingrowing toenails. Br Med J 2012;344:e2089.
• 7. Geizhals, S, Lipner, SR. Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment. Dermatol Online J 2019;25:13030/qt9985w2n0.
• 8. Murtagh, J. Patient education. Ingrowing toenails. Aust Fam Physician 1993;22:206.
• 9. Martinez-Nova A, Sanchez-Rodriguez R, Alonso-Pena D. A new onychocryptosis classification and treatment plan. J Am PodiatrMed Assoc 2007;97:389-93.
• 10. Richardson EG, Hendrix CL. Campbell’s operative orthopaedics. In: ST C, ed. Disorders of nails and skin. 10th Edition ed. Philadelphia: Mosby; 2003. pp. 4171-87.
• 11. Heidelbaugh JJ, Lee H. Management of the ingrown toenail. Am Fam Physician 2009;79:303-8.
• 12. Emmert C. Zur Operation des eingewachsenen Nagels. Archiv fur Klinische Chirurgie 1869;11:266-7.
• 13. Heifetz CJ. Ingrown toenail. Am J Surg 1937;38:298-315.
• 14. Mozena JD. The Mozena Classification System and treatment algorithm for ingrown hallux nails. J Am Podiatr Med Assoc 2002;92:131-5.
• 15. Anderson JH, Greig JD, Ireland AJ, Anderson JR. Randomized, prospective study of nail bed ablation for recurrent ingrowing toenails. J R Coll Surg Edinb 1990;35:240-42.
• 16. Murray WR. Onychocryptosis: principles of non-operative and operative care. Clin Orthop Relat Res 1979;142:96-102.
• 17. Bryant A, Knox A. Ingrown toenails: the role of the GP, Am Fam Physician 2015;44:102-5.