Recurrent Ingrown Big Toenails Are Efficiently Treated by CO2 Laser
| Autor: | Francis Serour |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Nails Ingrown Dermatology Avulsion Postoperative Complications Recurrence medicine Humans Child Aged Co2 laser business.industry Granulation tissue Continuous mode General Medicine Middle Aged Toes Nail plate Neuroma medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Nail (anatomy) Female Laser Therapy Digital nerve business |
| Zdroj: | Dermatologic Surgery. 28:509-512 |
| ISSN: | 1076-0512 |
| DOI: | 10.1097/00042728-200206000-00014 |
| Popis: | background. Surgery for onychocryptosis has a high rate of recurrence. objective. To evaluate CO2 laser partial matricectomy for recurrent onychocryptosis. methods. One hundred ninety-six consecutive patients (predominantly teenagers) previously unsuccessfully treated by surgery underwent CO2 laser for recurrent onychocryptosis. After a digital nerve block and a simple partial nail plate avulsion, the laser was used (5 W, defocused 2 mm beam in continuous mode) to vaporize the matrix, the lateral horn, and the lateral nail groove, including local granulation tissue if present. Follow-up was at least 12 months. results. Three hundred forty-four matricectomies were performed. Disease was mostly at stage II and III, with severe local infection in 24 cases (12.2%). All wounds healed in 21.9 ± 3.2 days, with no postoperative local infection or prolonged exudative drainage. Onychocryptosis reoccurred in 5 of 344 treated margins (1.45%, average 15 months), all after primary bilateral matricectomy. Spicules in the lateral nail groove occurred in 14 of 344 treated margins (4%, average 5.9 months), mostly after primary bilateral matricectomy (7 cases) and in infected margins (8 cases). One patient developed a neuroma in the lateral nail groove. conclusion. CO2 laser is effective for the treatment of recurrent onychocryptosis. Bilateral matricectomy and local infection seem to be the predisposing factors for recurrence and postoperative spicule growth. |
| Databáze: | OpenAIRE |
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