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Liu J, Zhou Y, Liu MX, Liu ZR, Wang XQ, Li F, Wang DG. Comparative efficacy of modified Noel's technique and matrix phenolization on onychocryptosis: a retrospective study. Int J Dermatol 2024. [PMID: 38939959 DOI: 10.1111/ijd.17349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 05/03/2024] [Accepted: 06/17/2024] [Indexed: 06/29/2024]
Abstract
BACKGROUND Onychocryptosis is a common pathological condition requiring clinical intervention. Selecting an appropriate and effective treatment based on individual patient circumstances is crucial. METHODS We compared the efficacy and safety of the modified Noel's technique and matrix phenolization in 107 participants with onychocryptosis. Participants were divided into two groups: 75 nails (73 patients) were treated with the modified Noel's technique (modified Noel's group), while 42 nails (34 patients) were treated with matrix phenolization (Phenol group). Outcomes on clinical cure rates and postoperative complications from both groups were collected. Additionally, the efficacy of the modified Noel's technique was assessed in 31 nails with stage IV onychocryptosis. RESULTS After 18 months, among the remaining 102 patients (110 nails), the modified Noel's group exhibited fewer complications (5.88% vs. 45.2%, P < 0.001) with similar cure rates (P = 0.62). Furthermore, there was a shorter healing time in the modified Noel's group (13.5 ± 1.4 vs. 27.6 ± 2.3 days, P < 0.001). Postoperative pain was notable in the modified Noel's group on the first postoperative day (P < 0.001), with a significant decrease in the pain score 2 weeks after surgery (P = 0.407). Postoperative nail plate narrowing was observed in the Phenol group (33%). Moreover, the modified Noel's technique achieved a 100% cure rate in stage IV patients. CONCLUSIONS The modified Noel's technique, offering precise excision of the proliferative nail fold and strategic suturing, is suitable for stage IV patients and for those who find significant aesthetic impact unacceptable following narrowed plate postmatrix phenolization.
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Affiliation(s)
- Juan Liu
- Department of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China
| | - Yuan Zhou
- Chinese Academy of Medical Sciences and Peking Union Medical College, Institute of Dermatology, Nanjing, China
| | - Meng-Xi Liu
- Department of Dermatology, Suzhou Municipal Hospital East Area, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China
| | - Zhen-Ru Liu
- Department of Dermatology, Jen Ching Memorial Hospital, Suzhou, China
| | - Xiao-Qing Wang
- Department of Dermatology, Jiangsu Province Geriatric Hospital, Nanjing, China
| | - Fang Li
- Chinese Academy of Medical Sciences and Peking Union Medical College, Institute of Dermatology, Nanjing, China
| | - Da-Guang Wang
- Department of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China
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Kim HJ, Kim E, Yook HJ, Bang CH, Lee JH, Park YM, Kim YH. Ingrown nail correction device using three-dimensionally printed thermoplastic polyurethane and nickel-titanium shape-memory alloy. Clin Dermatol 2024; 42:84-86. [PMID: 37944833 DOI: 10.1016/j.clindermatol.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Affiliation(s)
- Hyun Jee Kim
- Department of Dermatology, International St. Mary's Hospital, College of Medicine, Catholic Kwandong University, Incheon, Republic of Korea
| | - Esther Kim
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Hwa Jung Yook
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Chul Hwan Bang
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Ji Hyun Lee
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Young Min Park
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Yeong Ho Kim
- Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
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Pamuk Ç. Winograd surgery can be performed under partial digital block in patients with ingrown toenails. Foot Ankle Surg 2022; 28:785-788. [PMID: 34776335 DOI: 10.1016/j.fas.2021.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 10/25/2021] [Accepted: 11/01/2021] [Indexed: 02/04/2023]
Abstract
BACKGROUND Winograd procedures performed under a partial digital block with a single needle to the surgical side instead of the entire toe were not evaluated. This study aimed to examine the clinical results of classic ring block and partial digital block performed during Winograd procedures in cases of ingrown toenails. METHODS A total of 210 patients underwent Winograd surgery were divided into two groups according to the type of anesthesia used as follows: traditional ring block (TRB) and partial digital block (PDB). Visual analog scale (VAS) scores, Heifetz stage patient satisfaction levels, recurrence rates, and need for reoperation were recorded. RESULTS Compared with the PDB group, the during operation VAS score was statistically significantly higher in the TRB group (p = 0001). There was no statistically significant difference between the groups in terms of postoperative satisfaction, recurrence (p = 0294), and reoperation rates (p = 0651). CONCLUSIONS This study is the first to show that adequate anesthetic efficacy can be achieved with a less invasive intervention for Winograd procedures.
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Affiliation(s)
- Çağdaş Pamuk
- Department of Orthopaedics and Traumatology, Silivri Anadolu Special Hospital, Istanbul, Turkey.
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4
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[Unguis incarnatus-High-quality research comparing conservative and surgical treatment is warranted]. UNFALLCHIRURGIE (HEIDELBERG, GERMANY) 2022; 125:585-586. [PMID: 35790539 DOI: 10.1007/s00113-022-01190-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/02/2022] [Indexed: 02/07/2023]
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The Modified versus the Conventional Winograd Technique for the Treatment of Onychocryptosis: A Retrospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137818. [PMID: 35805476 PMCID: PMC9266244 DOI: 10.3390/ijerph19137818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/23/2022] [Accepted: 06/23/2022] [Indexed: 12/10/2022]
Abstract
The Winograd technique is a common surgical treatment for ingrown toenails. Attempting to improve the results of this technique, two modifications were adopted: the incisional approach and the use of adhesive approximation strips. This study aimed to compare the conventional technique and the modified version based on (i) postoperative complications, (ii) healing time, (iii) recurrence rate, and (iv) overall patient satisfaction. A longitudinal, observational, and retrospective design was used, with a sample of 208 patients divided into the modified Winograd technique (n = 111) and the conventional Winograd technique (n = 97) in three clinics in Portugal, with follow-up periods of more than 15 years and 10 years, respectively. The modifications to the Winograd technique revealed fewer postsurgical complications, in terms of infections (1.8% vs. 20.62%, p < 0.010), recurrence rate (2.7% vs. 5.21%, p > 0.05), shorter recovery time (8.10 ± 0.76 vs. 14.51 ± 3.48 days, p < 0.001), and lower postoperative pain and better satisfaction with the functional and esthetic results, with the patient’s overall satisfaction, and with significant differences in relation to the conventional technique (p < 0.001). The modifications performed showed a lower rate of infection, decreased healing time, and better patient satisfaction, suggesting that it may be adopted in clinical practice for the treatment of stages II and III ingrown toenails.
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Pelant E, Pawlaczyk M, Urbańska M, Micek I, Gornowicz-Porowska J. Titanium-molybdenum brace in the treatment of ingrown toenails. J Cosmet Dermatol 2021; 21:2674-2676. [PMID: 34450688 DOI: 10.1111/jocd.14419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 08/02/2021] [Accepted: 08/16/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Ewa Pelant
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland
| | - Mariola Pawlaczyk
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland
| | - Maria Urbańska
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland
| | - Iwona Micek
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland
| | - Justyna Gornowicz-Porowska
- Department and Division of Practical Cosmetology and Skin Diseases Prophylaxis, Poznan University of Medical Sciences, Poznan, Poland
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Wang HH, Huang YC. Risk factors for poorly controlled and recurrence-prone ingrown toenails treated with nail braces: A retrospective observational study of 238 cases. Indian J Dermatol Venereol Leprol 2021; 88:636-640. [PMID: 34245522 DOI: 10.25259/ijdvl_529_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 12/01/2020] [Indexed: 11/04/2022]
Abstract
BACKGROUND Nail braces are reportedly effective for treating both acute inflamed and chronic dystrophic type ingrown toenails. AIMS In this study, risk factors for poorly controlled and recurrence-prone ingrown toenails treated with nail braces were identified. METHODS We performed a retrospective study on patients with ingrown toenails between June 1, 2015, and May 31, 2018. The last follow-up date was January 31, 2019. Multivariate logistic regression was performed to evaluate the possible factors associated with poorly controlled status (ongoing paronychia during treatment) and recurrence. RESULTS There were 120 (244 sides) and 118 patients (167 sides) with chronic dystrophic and acute inflamed type ingrown toenails, respectively. The mean treatment duration and follow-up period were 161.2 ± 98.3 days and 432.7 ± 320.9 days, respectively. Poor control and recurrence were seen in 7.3% (17/232) and 12.2% (27/221) of the patients, respectively. In the multivariate analysis, acute inflamed ingrown toenails, previous nail avulsion, proximal nail fold hypertrophy and more than one affected side remained significantly associated with poorly controlled ingrown toenails. Foot bone deformity was significantly associated with recurrence. LIMITATIONS This study was a retrospective study so that confounding factors such as comorbidities, body mass index, accompanying nail changes and lifestyle could not be evaluated. CONCLUSION Several risk factors related to poor control and recurrence were identified. Patients could therefore benefit from more suitable treatment plans with reasonable expectation.
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Affiliation(s)
- Hsiao-Han Wang
- Department of Dermatology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Yu-Chen Huang
- Department of Dermatology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Polyethylene Nail Brace for Ingrown Toenails Treatment: A Randomized Clinical Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217741. [PMID: 33113886 PMCID: PMC7660184 DOI: 10.3390/ijerph17217741] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 10/20/2020] [Accepted: 10/22/2020] [Indexed: 11/17/2022]
Abstract
Background: Onychocryptosis is one of the most prevailing onychopathies and one of the usual reasons for visiting podiatry clinics. In this research, we aim to evaluate the effectiveness of a procedure of nail reeducation technique via a strip of polyethylene in subjects with stage I or IIa onychocryptosis, in which pathological toenail curves are present. Methods: This research was a randomized clinical trial (ACTRN12615000834550). The sample was made up of 94 cases of stage I or IIa onychocryptosis, according to the Mozena classification. Briefly, 46 cases were treated with the combination of a spicule technique and nail brace with a polyethylene plastic strip, and 48 were only treated with the spicule technique. Results: The combination of the spicule technique and the nail brace technique with a strip of polyethylene had a significantly lower recurrence rate compared to that achieved with just the spicule technique, twelve months after the beginning of the study (N.S. = 0.000 for α = 0.05). The change in the nail width achieved with the nail brace technique, twelve months after the beginning of the study, was statistically significant (N.S. = 0.000 for α = 0.05). Conclusions: The recurrence rate of the spicule technique alone was significantly higher than the combined technique of spicule with nail brace. A nail brace with a strip of polyethylene reduces the recurrence rate of onychocryptosis.
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Stewart CR, Algu L, Kamran R, Leveille CF, Abid K, Rae C, Lipner SR. Patient Satisfaction with Treatment for Onychocryptosis: A Systematic Review. Skin Appendage Disord 2020; 6:272-279. [PMID: 33088811 DOI: 10.1159/000508927] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Accepted: 05/15/2020] [Indexed: 01/30/2023] Open
Abstract
Onychocryptosis, or ingrown nail, is a common condition in which the nail plate penetrates the nail fold, often resulting in inflammation and pain. Nonsurgical and surgical treatments are utilized, but patient satisfaction with these therapies has not been well studied. The purpose of this study was to systematically review the available literature describing patient-reported outcomes of onychocryptosis treatments. We performed a search of the literature published prior to May 22, 2019. Articles were included in the review if primary data were presented, patient-reported outcome measures (PROMs) were used, and nail involvement was specifically examined. From the initial search, 18 studies were included in the final analysis. Patients receiving both nonsurgical and surgical interventions reported high levels of overall satisfaction; however, most studies used ad hoc measures rather than validated PROMs, providing little granular information on the impact of treatment on quality of life (QoL). This review affirms that treatment for onychocryptosis results in satisfactory outcomes for patients; however, increased efforts are needed to understand the impact of therapy on patient QoL as assessed by validated outcome measure that accurately assess patients' cosmetic, physical, and social difficulties.
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Affiliation(s)
| | - Leah Algu
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Rakhshan Kamran
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Cameron F Leveille
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Khizar Abid
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Charlene Rae
- Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
| | - Shari R Lipner
- Department of Dermatology, Weill Cornell Medicine, New York, New York, USA
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10
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Efficacy of Nail Braces for Acute and Chronic Ingrown Toenails: A Prospective Study. Dermatol Surg 2020; 46:258-266. [DOI: 10.1097/dss.0000000000001905] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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11
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Thakur V, Vinay K, Haneke E. Onychocryptosis – decrypting the controversies. Int J Dermatol 2020; 59:656-669. [DOI: 10.1111/ijd.14769] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 11/21/2019] [Accepted: 12/18/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Vishal Thakur
- Department of Dermatology, Venereology, and Leprology Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Keshavamurthy Vinay
- Department of Dermatology, Venereology, and Leprology Postgraduate Institute of Medical Education and Research Chandigarh India
- Department of Dermatology Inselspital University of Bern Bern Switzerland
| | - Eckart Haneke
- Department of Dermatology Inselspital University of Bern Bern Switzerland
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Miao F, Nie S, Wang HW. B/S Brace as an Alternative Treatment for Ingrown Toenails. Chin Med J (Engl) 2019; 131:2373-2375. [PMID: 30246731 PMCID: PMC6166465 DOI: 10.4103/0366-6999.241807] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Fei Miao
- Department of Dermatology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
| | - Shu Nie
- Department of Dermatology and Venereal Diseases, School of Medicine, Shanghai Medical College, Fudan University, Shanghai 200032, China
| | - Hong-Wei Wang
- Department of Dermatology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
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13
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Nail Brace Application: A Noninvasive Treatment for Ingrown Nails in Pediatric Patients. Dermatol Surg 2019; 45:323-326. [DOI: 10.1097/dss.0000000000001530] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Liu CW, Huang YC. Die Wirksamkeit einer neuen Nagelspange für die Behandlung von eingewachsenen Nägeln. J Dtsch Dermatol Ges 2018; 16:417-425. [DOI: 10.1111/ddg.13462_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 08/11/2017] [Indexed: 11/26/2022]
Affiliation(s)
- Che-Wei Liu
- Abteilung für Orthopädie; Cathy General Hospital; Taipei City Taiwan
| | - Yu-Chen Huang
- Abteilung für Dermatologie; Wan Fang Hospital; Taipei Medical University; Taipeh Taiwan
- Abteilung für Dermatologie; School of Medicine; College of Medicine; Taipei Medical University; Taipeh Taiwan
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Liu CW, Huang YC. Efficacy of a new nail brace for the treatment of ingrown toenails. J Dtsch Dermatol Ges 2018; 16:417-423. [DOI: 10.1111/ddg.13462] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 08/11/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Che-Wei Liu
- Department of Orthopedics; Cathy General Hospital; Taipei City Taiwan
| | - Yu-Chen Huang
- Department of Dermatology; Wan Fang Hospital; Taipei Medical University; Taipei City Taiwan
- Department of Dermatology; School of Medicine; College of Medicine; Taipei Medical University; Taipei City Taiwan
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Toenail Bracing Complicated With Group-A Beta-Haemolytic Streptococcus Infection. Dermatol Surg 2017; 43:1184-1185. [PMID: 28263195 DOI: 10.1097/dss.0000000000001108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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A new and simple suturing technique applied after surgery to correct ingrown toenails may improve clinical outcomes: A randomized controlled trial. Int J Surg 2016; 34:1-5. [DOI: 10.1016/j.ijsu.2016.08.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2016] [Revised: 07/22/2016] [Accepted: 08/04/2016] [Indexed: 11/21/2022]
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