Abstract
Ingrown toenail is a common condition affecting toenails causing inflammation and pain. It is caused by the edge of the nail growing into the surrounding soft tissue. In this chapter we appraised the evidence that underpin the current approaches and we concluded that surgical treatments are superior to non surgical ones in term of recurrence rates (grade B). The use of chemical ablation reduces the recurrences rates regardless of the surgical interventions (grade B). Wedge excision is the first line of surgical treatment (grade C). Phenol chemical ablation has been the most widely used ablating agent and it should be compared to other agents in more robust studies.
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References
Aydin N. Partial removal of nail matrix in the treatment of ingrowing toe nail. Acta Orthop Traumatol Turc. 2008;42:174–7.
Zuber TJ, Pfenninger JL. Management of ingrown toenails. Am Fam Physician. 1995;52(1):181–90.
Reijnen JAM, Goris RJA. Conservative treatment of ingrowing toenails. Br J Surg. 1989;76(9):955–7.
Eekhof JAH et al. Interventions for ingrowing toenails. In: Cochrane database of systematic reviews: Wiley-Blackwell; 2012.
Haneke E. Controversies in the treatment of ingrown nails. Dermatol Res Pract. 2012;2012:783924.
Senapati A. Conservative outpatient management of ingrowing toenails. J R Soc Med. 1986;79(6):339–40.
Connolly B, Fitzgerald RJ. Pledgets in ingrowing toenails. Arch Dis Child. 1988;63(1):71–2.
Nlshioka K et al. Taping for embedded toenails. Br J Dermatol. 1985;113(2):246–7.
Tsunoda M, Tsunoda K. Patient-controlled taping for the treatment of ingrown toenails. Ann Fam Med. 2014;12(6):553–5.
Arai H et al. Formable acrylic treatment for ingrowing nail with gutter splint and sculptured nail. Int J Dermatol. 2004;43(10):759–65.
Matsumoto K et al. Resin splint as a new conservative treatment for ingrown toenails. J Med Invest. 2010;57(3, 4):321–5.
Park S-W et al. Treatment of ingrown nail with a special device composed of shape-memory alloy. J Dermatol. 2014;41(4):292–5.
NoeL B. Surgical treatment of ingrown toenail without matricectomy. Dermatol Surg. 2008;34(1):79–83.
NoeL B. Surgical treatment of ingrown toenail without matricectomy. Dermatol Surg. 2007;34(1):79–83.
Sarifakioglu E, Yilmaz AE, Gorpelioglu C. Nail alterations in 250 infant patients: a clinical study. J Eur Acad Dermatol Venereol. 2008;22(6):741–4.
DuVries HL. Surgery of the Foot, Mosby. St. Louis, Mo, USA: Wiley-Blackwell; 1966.
Ney GC. An operation for ingrowing toe nails. JAMA. 1923;80(6):374.
Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr. 162(2):398–402.
Bostanci S, Ekmekçi P, Gürgey E. Chemical matricectomy with phenol for the treatment of ingrowing toenail: a review of the literature and follow-up of 172 treated patients. Acta Derm Venereol. 2001;81(3):181–3.
Bostanci S, Kocyigit P, GÃœRgey E. Comparison of phenol and sodium hydroxide chemical matricectomies for the treatment of ingrowing toenails. Dermatol Surg. 2007;33(6):680–5.
Zadik FR. Obliteration of the nail bed of the great toe without shortening the terminal phalanx. J Bone Joint Surg. 1950;32(1):66–7.
Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl. 2011;93(2):99–102.
Shaath N et al. A prospective randomized comparison of the Zadik procedure and chemical ablation in the treatment of ingrown toenails. Foot Ankle Int. 2005;26(5):401–5.
Winograd AM. A modification in the technic of operation for ingrown toenail. JAMA. 1929;92(3):229–30.
Ham AC, Hackeng CA, Yo TI. The treatment of ingrowing toenails. A randomised comparison of wedge excision and phenol cauterisation. J Bone Joint Surg Br. 1990;72(3):507–9.
Morkane AJ, Robertson RW, Inglis GS. Segmental phenolization of ingrowing toenails: a randomized controlled study. Br J Surg. 1984;71(7):526–7.
Küçüktaş M et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg. 39(2):274–80.
Grieg JD et al. The surgical treatment of ingrowing toenails. J Bone Joint Surg Br. 1991;73(1):131–3.
Herold N, Houshian S, Riegels-Nielsen P. A prospective comparison of wedge matrix resection with nail matrix phenolization for the treatment of ingrown toenail. J Foot Ankle Surg. 2001;40(6):390–5.
Bos AMC et al. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94(3):292–6.
Korkmaz M et al. Teenage patients with ingrown toenails: treatment with partial matrix excision or segmental phenolization. Indian J Dermatol. 2013;58(4):327.
Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med. 10(6):556–9.
Zaraa I et al. Segmental phenolization for the treatment of ingrown toenails: technique report, follow up of 146 patients, and review of the literature. Dermatol Online J. 2013;19(6):18560.
Perez-Rey J, Mediavilla-Saldana L, Martinez-Nova A. Exploring postoperative outcomes for ingrown toenails. NaOH vs wedge resection techniques. Dermatol Surg. 2014;40(3):281–7.
Küçüktaş M et al. Comparison of effectiveness of electrocautery and cryotherapy in partial matrixectomy after partial nail extraction in the treatment of ingrown nails. Dermatol Surg. 2013;39(2):274–80.
Misiak P et al. Comparison of effectiveness of electrocautery and phenol application in partial matricectomy after partial nail extraction in the treatment of ingrown nails. Pol Przegl Chir. 2014;86(2):89–93.
Perry E et al. A comparison of four nail-conserving procedures for ingrowing toenail. Br J Surg. 1984;71(11):912.
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Razak, A., Ahmad, M. (2017). Evidence-Based Treatment of Ingrown Toenails. In: Alshryda, S., Huntley, J., Banaszkiewicz, P. (eds) Paediatric Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-41142-2_48
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DOI: https://doi.org/10.1007/978-3-319-41142-2_48
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