A comparison of effectiveness and cosmetic outcome of two methods for ingrown toenail: partial nail matricectomy using CO2 laser versus lateral nail fold excision
| Autor: | Mansour Rezaei, Hossein Kavoussi, Elias Salimi, Reza Kavoussi, Ali Ebrahimi, Harif Rashidian |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Ingrown toenail Adolescent Nails Ingrown Dermatology Iran law.invention Cohort Studies Young Adult Lateral nail fold Patient satisfaction Randomized controlled trial law medicine Humans Young adult Co2 laser business.industry medicine.disease Surgery Treatment Outcome Infectious Diseases medicine.anatomical_structure Nails Patient Satisfaction Lasers Gas Nail (anatomy) Female Laser Therapy business Cohort study |
| Zdroj: | Acta Dermatovenerologica Alpina Pannonica et Adriatica. 29 |
| ISSN: | 1318-4458 |
| DOI: | 10.15570/actaapa.2020.12 |
| Popis: | Background Ingrown toenail (IGT) is a common nail disorder that causes discomfort and interferes with most activities. Most cases of IGT require procedural intervention. This study was performed to compare the treatment and cosmetic outcome of partial nail matricectomy (PNM) using CO2 laser versus lateral nail fold excision (LNFE). Method This interventional study was performed on 127 patients with IGT that were randomized into two groups. Demographic data, clinical characteristics, and treatment results were recorded in both groups. Results Sixty-two patients with a mean age of 28.23 ± 11.34 years were subjected to PNM and 65 patients with a mean age of 28.92 ± 9.63 years to LNFE. The PNM versus LNFE groups had cure rates of 85.5% versus 78.5%, fair cosmetic outcomes of 67.9% versus 84.0%, and infection rates of 4.8% versus 3.1%. The mean time of pain duration, return to daily activity, and return to work were nearly 3, 4, and 13 days, respectively, in both groups. Conclusion The treatment outcome was slightly better in the PNM group than in the LNFE group, and vice-versa for the cosmetic outcome. There were nearly similar outcomes in terms of the mean time of repair, pain duration, return to daily activity, and infection rate using both methods. |
| Databáze: | OpenAIRE |
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