A new perspective on the nail plate for treatment of ingrown toenail

Background: Our routine treatment for ingrown toenail was removal of the surrounding soft tissue and shortening the bone of the distal phalanx. We determined the range and volume of excision based on our experience without an objective standard and routinely performed avulsion of the nail plate....

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Autores principales:	Jia Tian, Jin Li, Fabin Wang, Zhenbingi Chen
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2018
Materias:	ingrown toenail soft tissue excision distal phalanx bone shortening nail plate Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/c8a5860bd52144fda0af56d0718a89e8
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spelling	oai:doaj.org-article:c8a5860bd52144fda0af56d0718a89e82021-11-17T08:30:21ZA new perspective on the nail plate for treatment of ingrown toenail2160-9381https://doaj.org/article/c8a5860bd52144fda0af56d0718a89e82018-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/378https://doaj.org/toc/2160-9381 Background: Our routine treatment for ingrown toenail was removal of the surrounding soft tissue and shortening the bone of the distal phalanx. We determined the range and volume of excision based on our experience without an objective standard and routinely performed avulsion of the nail plate. Objective: To take the nail plate as an objective mark during surgical treatment of ingrown toenail to ensure accurate excision. Patients and Methods: Fifteen patients with ingrown toenails were treated with this technique. We used the lateral borders of the nail plate as a landmark to determine the volume of soft tissue surrounding the nail plate and distal phalanx to be removed. No avulsion of nail plate was performed. Results: No recurrence was observed during the follow-up period, which ranged from 24 to 35 months (29.9 months on average). The visual analog scale for pain showed significant pain relief in the patients. The Vancouver Scar Scale showed acceptable cosmetic outcomes. The width of excised skin ranged from 3.5 to 6.2 mm (5.0 mm on average). Conclusion: The use of the lateral borders of the nail plate as a landmark for surgical intervention of ingrown toenail offered excellent outcomes and reduced loss of healthy tissues. Jia TianJin LiFabin WangZhenbingi ChenMattioli1885articleingrown toenailsoft tissue excisiondistal phalanxbone shorteningnail plateDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 8, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	ingrown toenail soft tissue excision distal phalanx bone shortening nail plate Dermatology RL1-803
spellingShingle	ingrown toenail soft tissue excision distal phalanx bone shortening nail plate Dermatology RL1-803 Jia Tian Jin Li Fabin Wang Zhenbingi Chen A new perspective on the nail plate for treatment of ingrown toenail
description	Background: Our routine treatment for ingrown toenail was removal of the surrounding soft tissue and shortening the bone of the distal phalanx. We determined the range and volume of excision based on our experience without an objective standard and routinely performed avulsion of the nail plate. Objective: To take the nail plate as an objective mark during surgical treatment of ingrown toenail to ensure accurate excision. Patients and Methods: Fifteen patients with ingrown toenails were treated with this technique. We used the lateral borders of the nail plate as a landmark to determine the volume of soft tissue surrounding the nail plate and distal phalanx to be removed. No avulsion of nail plate was performed. Results: No recurrence was observed during the follow-up period, which ranged from 24 to 35 months (29.9 months on average). The visual analog scale for pain showed significant pain relief in the patients. The Vancouver Scar Scale showed acceptable cosmetic outcomes. The width of excised skin ranged from 3.5 to 6.2 mm (5.0 mm on average). Conclusion: The use of the lateral borders of the nail plate as a landmark for surgical intervention of ingrown toenail offered excellent outcomes and reduced loss of healthy tissues.
format	article
author	Jia Tian Jin Li Fabin Wang Zhenbingi Chen
author_facet	Jia Tian Jin Li Fabin Wang Zhenbingi Chen
author_sort	Jia Tian
title	A new perspective on the nail plate for treatment of ingrown toenail
title_short	A new perspective on the nail plate for treatment of ingrown toenail
title_full	A new perspective on the nail plate for treatment of ingrown toenail
title_fullStr	A new perspective on the nail plate for treatment of ingrown toenail
title_full_unstemmed	A new perspective on the nail plate for treatment of ingrown toenail
title_sort	new perspective on the nail plate for treatment of ingrown toenail
publisher	Mattioli1885
publishDate	2018
url	https://doaj.org/article/c8a5860bd52144fda0af56d0718a89e8
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A new perspective on the nail plate for treatment of ingrown toenail

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