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Background: Definitive nail dystrophies, congenital, traumatic, or acquired, affecting mainly elderly patients, may not be sufficiently managed with a periodic conservative treatment. A definitive surgical treatment may be considered an alternative method, especially in symptomatic patients.

Objective: To evaluate the effectiveness of total matricectomy with 88% phenol solution to treat some nail dystrophies, not otherwise satisfactorily managed.

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Ingrown toenail (IGTN), known as onychocryptosis or unguis incarnatus, is a painful condition affecting the big toe, with symptoms including pain, inflammation, and infection. This review explores surgical options for IGTN, categorized into altering the nail plate or diminishing periungual tissues. Conservative treatments alleviate early-stage symptoms, while surgical interventions are reserved for severe cases.

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Ingrown Toenails: A Survey Among Dermatologists on Current Treatments.

Dermatol Surg

March 2024

Hautklinik, Hauttumorzentrum, Klinikum Ludwigshafen gGmbH, Ludwigshafen, Germany.

Article Synopsis
  • There is currently no agreed-upon method for treating ingrown toenails, leading to a mix of highly invasive and less-invasive procedures being used.
  • An online survey conducted by the authors involving dermatologists and dermatologic surgeons revealed that non-surgical treatments were the most common choice, but surgical options like nail plate removal and chemical treatment were also frequently selected.
  • The varied responses indicate a lack of consistent treatment standards, highlighting the importance of developing clear guidelines for the management of ingrown toenails.
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Matrix Cauterization With Silver Nitrate in the Treatment of Ingrown Toenails in Children: Pilot Study.

Actas Dermosifiliogr

January 2023

Departamento de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid, España; Instituto de Investigación Sanitaria del Hospital Universitario La Paz (IdiPAZ), Red de Salud Materno Infantil y del Desarrollo (SAMID), Hospital Infantil La Paz, Madrid, España.

Background: Although partial onychectomy with chemical matricectomy has been described asthe treatment of choice, there is sparse evidence in the literature regarding the use of silvernitrate for matricectomy. Our aim is to describe the effectiveness of silver nitrate for matrixcauterization after partial onychectomy.

Methods: A prospective observational study was performed on patients with ingrown toenailsstage 2-3 who underwent partial onychectomy with silver nitrate chemical matricectomy during 2018-2019 in our institution.

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