TOENAIL SURGERY: INDICATIONS, OPTIONS AND TECHNIQUES.

The hard nail plate forms the majority of the nail unit apparatus. There are many disorders of the nail unit that may require a surgical approach, with the ingrowing toenail being the most common. The condition occurs when the nail plate punctures the sulcus, giving rise to pain and inflammation. Wh...

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Publicado en:Dermatological Nursing Vol. 20; no. 1; pp. 10 - 18
Autor principal: Reilly, Ian
Formato: case study pictorial review Journal Article
Publicado: British Dermatological Nursing Group Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
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        atl: TOENAIL SURGERY: INDICATIONS, OPTIONS AND TECHNIQUES.
      aug:
        au: Reilly, Ian
      sug:
        subj:
          Nails, Ingrown Etiology
          Nails, Ingrown Diagnosis
          Nails, Ingrown Surgery
          Surgery, Operative Methods
          Middle Age
          Female
          Ablation Techniques
          Nails, Ingrown Risk Factors
          Pain Etiology
          Nails, Ingrown Symptoms
          Nails, Ingrown Therapy
          Nail Care
          Shoes
          Preoperative Care
          Patient Assessment
          Perioperative Care
          Preoperative Education
          Nails, Ingrown
          Antibiotics Therapeutic Use
          Phenols Therapeutic Use
          Postoperative Complications
          Surgery, Operative
          Middle Aged: 45-64 years
          Female
      ab: The hard nail plate forms the majority of the nail unit apparatus. There are many disorders of the nail unit that may require a surgical approach, with the ingrowing toenail being the most common. The condition occurs when the nail plate punctures the sulcus, giving rise to pain and inflammation. When the nail does this, attempts at healing lead to the formation of hypergranulation tissue and secondary infection. The condition can be staged as 1, 2 or 3, with nail surgery often required for more advanced and chronic presentations. Nail surgery for permanent removal of part or all of a nail unit can be performed via incisional or physical ablative techniques. Currently, the most regularly performed technique in the UK is chemical ablation, with the phenol-alcohol technique by far the most popular procedure under this heading. The author will discuss partial and total avulsion techniques using phenolic nail matrix ablation, and place these within the overall phases of surgery. Brief mention will be made of incisional techniques, with a case study at the end of this article to prompt further thought and discussion.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        review
        Journal Article
      ougenre: Article
    language: English
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