Evaluation of the Recurrence Rate of Ingrown Toenail After a 45-Second Matrix Cauterization With Phenol.

IF 2.5 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI:10.1097/DSS.0000000000004265

Natália C S Silva, Adriana Matter, Nilton Di Chiacchio, Nilton G Di Chiacchio

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Abstract

Introduction: Ingrown toenail is a very common nail disorder, and partial matricectomy by phenolization is considered the most effective treatment technique. However, the contact time of the phenol with the nail matrix remains debatable.

Objective: To evaluate the recurrence rate of ingrown toenail after partial matricectomy by phenol for 45 seconds.

Methods: A total of 1,460 surgeries were performed, with a photographic record of 802 pictures for a period of 6 months. The presence of any nail spicule or sign of ingrowth during follow-up was considered a recurrence.

Results: A total of 802 surgeries were evaluated, with the most affected nails being the right (49.3%) and left (48%) big toes and most frequently the lateral fold (54.5%). The recurrence rate was 0.75% at 3 months and 1.87% at 6 months, and the medial nail fold had a higher recurrence rate than the lateral nail fold.

Conclusion: Forty-five seconds of contact time of 88% phenol with the nail matrix was enough and effective, resulting in low recurrence rates. Prospective studies are needed to better assess postoperative morbidity.

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用苯酚进行 45 秒基质灼烧后嵌甲复发率评估

简介嵌甲是一种非常常见的甲病，通过苯酚化法进行部分甲基质切除被认为是最有效的治疗技术。然而，苯酚与甲基质的接触时间仍有争议：评估使用苯酚进行45秒部分甲基质切除术后嵌甲的复发率：方法：共进行了 1,460 例手术，并在 6 个月内拍摄了 802 张照片。结果：共进行了 802 例手术，并在 6 个月内拍摄了 802 张照片：共对 802 例手术进行了评估，受影响最大的指甲是右脚（49.3%）和左脚（48%）大脚趾，最常见的是侧褶（54.5%）。3个月和6个月的复发率分别为0.75%和1.87%，内侧甲襞的复发率高于外侧甲襞：结论：88%的苯酚与甲基质接触45秒就足够了，而且效果很好，复发率很低。需要进行前瞻性研究，以更好地评估术后发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.