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.

Methods: A series of 48 surgeries were performed on 37 patients. Pain evaluation, interference with shoes and gait, recurrences, and patients' satisfaction with procedure were evaluated.

Results: All patients mentioned some pain or impairment in wearing shoes before surgery. Cosmetic results were remarkable, and most of the patients (95.11%) had a dramatic improvement of their discomfort after the procedure. No severe complications occurred during the 12-month follow-up.

Limitations: Single-center study and the limited number of patients.

Conclusion: Total matricectomy with 88% phenol solution is an effective surgical method with low rates of postoperative morbidity and high success rates for treating symptomatic nail dystrophies. The satisfaction with the cosmetic results is high, and this is a safe procedure for patients with associated comorbidities.

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000004134DOI Listing

Publication Analysis

Top Keywords

matricectomy 88%
12
88% phenol
12
nail dystrophies
12
total matricectomy
8
phenol solution
8
patients
6
total chemical
4
chemical matricectomy
4
phenol prospective
4
prospective case
4

Similar Publications

Article Synopsis
  • Ingrown toenails are a common issue, and the most effective treatment is partial matricectomy using phenol, although the optimal contact time for phenol remains uncertain.
  • A study evaluated 1,460 surgeries and recorded 802 cases over 6 months, tracking recurrences based on nail spicules or signs of ingrowth.
  • The findings showed low recurrence rates of 0.75% at 3 months and 1.87% at 6 months with 45 seconds of phenol contact, particularly noting higher recurrence in the medial nail fold compared to the lateral fold.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Effect of Phenol Application Time in the Treatment of Onychocryptosis: A Randomized Double-Blind Clinical Trial.

Int J Environ Res Public Health

October 2021

Departamento de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Calle Avicena s/n, 41009 Sevilla, Spain.

Background: In the treatment of Onychocryptosis, chemical matricectomy with 88% phenol solution is one of the most common surgical procedures due to a recurrence rate of less than 5%, but it may produce a delay in healing time. The objective was to compare the healing time between phenol applications of 30 or 60 s.

Methods: A comparative, prospective, parallel, randomized, and blinded clinical trial was registered with the European Clinical Trials Database.

View Article and Find Full Text PDF

Context: Lateral plate avulsion with chemical matricectomy is the treatment of choice for ingrown toenails. Phenol is the most widely used cauterant, followed by 10% NaOH and more recently trichloroacetic acid.

Aims: To evaluate the efficacy of 10% NaOH, 88% Phenol, and 90% TCA in cauterizing the matrix with regular follow up post surgery and clinical photographs.

View Article and Find Full Text PDF

Background: In the present study, we investigated the satisfaction of patients following sutured surgical treatment of an ingrown toenail with nail preservation and without matricectomy.

Materials And Methods: This study was retrospective. In total, 37 consecutive patients underwent 54 ingrown toenail surgeries.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!