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Trichloroacetic Acid Matricectomy in the Treatment of Ingrowing Toenails
Authors: KIM, SU-HAN; KO, HYUN-CHANG; OH, CHANG-KEUN; KWON, KYUNG-SOOL; KIM, MOON-BUM
Source: Dermatologic Surgery, Volume 35, Number 6, June 2009 , pp. 973-979(7)
Publisher: Wiley-Blackwell
Abstract:
BACKGROUND Ingrowing toenails can be treated with conservative therapy or surgery, but frequent relapse can be a problem in conservative therapy and surgical therapy without matricectomy. Thus, permanent nail ablation by partial matricectomy is now accepted as the treatment of choice. OBJECTIVE To evaluate the efficacy and safety of trichloroacetic acid (TCA) matricectomy in the treatment of ingrowing nail. MATERIALS AND METHODS Forty ingrowing toenail edges in 25 patients were enrolled. TCA matricectomy with 100% trichloroacetic acid after partial nail avulsion was performed. For a few weeks after surgery, postoperative complications such as pain, discharge, and infection were assessed. After a mean follow-up period of 22.9 months, recurrence rate and cosmetic outcomes were investigated to evaluate the effects of the surgery. RESULTS The wounds almost always healed within 2 weeks without prolonged exudative discharge. Pain was mild and transient. A case of secondary infection occurred. Recurrence was found in only two nails of one patient, and the success rate was 95%, with good cosmetic results. CONCLUSION TCA matricectomy showed a low recurrence rate with minimal side effects and was easy to perform in outpatient clinic. Therefore, it may be a good alternative treatment of ingrowing toenails.The authors have indicated no significant interest with commercial supporters.Document Type: Research article
DOI: http://dx.doi.org/10.1111/j.1524-4725.2009.01165.x
Affiliations: 1: Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea;
Publication date: 2009-06-01
- In this: publication
- By this: publisher
- In this Subject: Dermatology , Surgery
- By this author: KIM, SU-HAN ; KO, HYUN-CHANG ; OH, CHANG-KEUN ; KWON, KYUNG-SOOL ; KIM, MOON-BUM
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