CONSEQUENCES OF WEDGE RESECTION PROCEDURE WITH A NEW SUTURE TECHNIQUE IN THE TREATMENT OF INGROWN TOENAILS

Yıl 2016, Cilt: 7 Sayı: 28, 17 - 24, 31.12.2016

Metin Temel , Ebru Çelik Raif Özden Asena Çiğdem Doğramacı Yunus Doğramacı Vedat Uruç

https://doi.org/10.17944/mkutfd.287665

Cited By: 1

Öz

Aim: The narrowing of the nail plate or
debulking of soft tissues is the mainstay of the different surgical techniques
used to treat ingrown toenails. However, neither of these methods is sufficient
alone to treat all types of ingrown toenail. The aim of this study was to
present a new surgical wedge resection procedure for an ingrown toenail that
includes a definitive narrowing of the nail plate, debulking of the lateral
fold and attachment of the remaining lateral fold to the nail plate using a
novel suturing technique.

Material and Methods: Fifty two
patients with grade 2-3 ingrown toenails were operated on. Twelve of these
cases involved bilateral toes and 11 toes had bilateral lesions; 75 lesions on
64 toes were therefore surgically treated. Recurrence and cosmetic satisfaction
were the main outcomes to be assessed.

Results: No recurrence was detected in any
subject and all patients were satisfied with the cosmetic results.

Conclusion: Our new surgical procedure is a very effective
alternative treatment for an ingrown toenail which produces excellent cosmetic
results.

Anahtar Kelimeler

Ingrown toenail, surgical procedures

Tırnak Batmalarının Tedavisinde Kama Şeklinde Çıkarımla Birlikte Yeni Bir Sütür Tekniğinin Sonuçları

Öz

Amaç: Tırnak batmalarında tırnak yatağının
daraltılması ve yumuşak dokudaki şişliklerin giderilmesi birçok cerrahi
müdahalenin ortak noktasıdır. Ancak bu cerrahi tekniklerin hiçbiri tek başına
cerrahi tedavide yeterli olmamaktadır. Bu çalışmada amaç kama şeklinde etraf
yumuşak dokuda eksizyon yapılarak tırnak yatağının daraltılması ve kalan
yumuşak dokuların ise yeni geliştirilen bir sütür tekniği ile yeniden tırnak
yatağı oluşturulmasını sağlamaktır.  

Gereç ve Yöntem: Çalışmamıza
sınıf 2-3 tırnak batması olan 52 hasta dahil edildi. Bu olguların 12’sinde her
iki ayakta ve 11’inde ise aynı ayakta tırnağın her iki tarafındatırnak batması
mevcuttu. Toplam 64 ayaktaki 75 lezyon cerrahi olarak tedavi edildi. Nüks ve
kozmetik memnuniyet açısında sonuçlar değerlendirildi.

Bulgular: Hiçbir hastada nüks görülmedi ve tüm
hastalar kozmetik sonuçlardan memnundu

Sonuç: Yeni geliştirilen bu cerrahi tekniğin
tırnak batması tedavisinde çok etkili, mükemmel kozmetik sonuçlar doğuran
alternatif bir yöntem olduğunu düşünmekteyiz. 

Anahtar Kelimeler

Tırnak batması, cerrahi işlemler

Kaynakça

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