Chemical matricectomy with sodium hydroxide: long-term follow-up results.

Dermatol Surg

*Department of Dermatology and Venereology, Ankara University Faculty of Medicine, Ankara, Turkey; †Department of Dermatology and Venereology, Prof. Dr. Celal Ertug Etimesgut State Hospital, Ankara, Turkey.

Published: November 2014

AI Article Synopsis

  • Chemical matricectomy using sodium hydroxide is an effective treatment for ingrown toenails, with the study examining long-term outcomes based on varying application times.
  • The research involved 202 patients treated with either 1-minute or 2-minute sodium hydroxide applications, and over a follow-up period of 7.5 years, the recurrence rates were low (6.4% for 1 minute and 7.1% for 2 minutes).
  • Results demonstrated no significant difference in recurrence rates between the two application durations, highlighting that even the shorter 1-minute treatment is equally effective for long-term outcomes.

Article Abstract

Background: Chemical matricectomy with sodium hydroxide is a method being used successfully in the treatment of ingrown toenail.

Objective: In this study, it was aimed to evaluate long-term recurrence rates after chemical matricectomy using sodium hydroxide application of different durations.

Materials And Methods: Two hundred two patients with ingrown nail edges were treated with either 1-minute (Group 1) or 2-minute (Group 2) applications of sodium hydroxide matricectomy. All patients were followed for at least 2 years.

Results: Chemical matricectomy with sodium hydroxide was applied to a total of 585 nail edges of 202 cases. The overall recurrence rates in Group 1 and Group 2 were 6.4% and 7.1%, respectively, during the average 7.5-year follow-up period. No statistically significant differences were detected in terms of recurrence between the 2 groups (p = .73).

Conclusion: Chemical matricectomy with sodium hydroxide is an easy method in the treatment of ingrown nails, with low morbidity and high success rates. There was no difference between 1-minute and 2-minute applications in terms of recurrence during the long-term follow-up. Chemical matricectomy with 1-minute application of sodium hydroxide showed high success in terms of long-term follow-up results.

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http://dx.doi.org/10.1097/DSS.0000000000000136DOI Listing

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