Treatment of Recurrent Ingrowing Toe Nails byElectrosurgical Matricectomy

Khalil Al-Qaisy, Jamal

	Treatment of Recurrent Ingrowing Toe Nails byElectrosurgical Matricectomy
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 24, Issue 3, 2011, Pages 253-257
Author
Jamal Khalil Al-Qaisy
Abstract
Background: Ingrowing toenails (ITN) is a common problem in surgical clinic which seen frequently among adults with male predominant, resulting from pressure on the toe. Objective: To evaluate the management of recurrent ITN by electrocautery. Patients & Methods: An interventional study was carried out from April 2005 to April 2009 on 112 patients with 120 recurring ITN, eight patients with medial and lateral border diseases treated with different surgical procedures were included in this study. Results: One hundred and twenty ITNs could be followed for one month, 112 ITNs could be followed for three months, 102 ITNs could be followed for six months, and 96 ITNs could be followed for twelve months. Complete healing takes a mean time of 1.8 week, only six patients developed infection, two patients developed spicule, three patients presently with severe pain required strong analgesia for three days, four patients were unsatisfied of the appearance of their big toe. Conclusion: The surgical technique of lateral nail avulsion plus electrical cautery matricectomy is effective in the treatment of recurrent ITN with high success rate and minimal complications compared with other procedures. Key words: Recurrent ingrowing toe nail; Chemical treatment of ingrowing toenail; CO2Laser for ingrowing toenail; onychocryptosis.
Keywords
Recurrent ingrowing toe nail; Chemical treatment of ingrowing toenail; Laser for ingrowing toenail; onychocryptosis

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