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Evidence-Based Treatment of Ingrown Toenails

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Paediatric Orthopaedics

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

  1. Aydin N. Partial removal of nail matrix in the treatment of ingrowing toe nail. Acta Orthop Traumatol Turc. 2008;42:174–7.

    Article  PubMed  Google Scholar 

  2. Zuber TJ, Pfenninger JL. Management of ingrown toenails. Am Fam Physician. 1995;52(1):181–90.

    CAS  PubMed  Google Scholar 

  3. Reijnen JAM, Goris RJA. Conservative treatment of ingrowing toenails. Br J Surg. 1989;76(9):955–7.

    Article  CAS  PubMed  Google Scholar 

  4. Eekhof JAH et al. Interventions for ingrowing toenails. In: Cochrane database of systematic reviews: Wiley-Blackwell; 2012.

    Google Scholar 

  5. Haneke E. Controversies in the treatment of ingrown nails. Dermatol Res Pract. 2012;2012:783924.

    PubMed  PubMed Central  Google Scholar 

  6. Senapati A. Conservative outpatient management of ingrowing toenails. J R Soc Med. 1986;79(6):339–40.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Connolly B, Fitzgerald RJ. Pledgets in ingrowing toenails. Arch Dis Child. 1988;63(1):71–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Nlshioka K et al. Taping for embedded toenails. Br J Dermatol. 1985;113(2):246–7.

    Article  Google Scholar 

  9. Tsunoda M, Tsunoda K. Patient-controlled taping for the treatment of ingrown toenails. Ann Fam Med. 2014;12(6):553–5.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Arai H et al. Formable acrylic treatment for ingrowing nail with gutter splint and sculptured nail. Int J Dermatol. 2004;43(10):759–65.

    Article  PubMed  Google Scholar 

  11. Matsumoto K et al. Resin splint as a new conservative treatment for ingrown toenails. J Med Invest. 2010;57(3, 4):321–5.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. NoeL B. Surgical treatment of ingrown toenail without matricectomy. Dermatol Surg. 2008;34(1):79–83.

    Article  CAS  PubMed  Google Scholar 

  14. NoeL B. Surgical treatment of ingrown toenail without matricectomy. Dermatol Surg. 2007;34(1):79–83.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  CAS  PubMed  Google Scholar 

  16. DuVries HL. Surgery of the Foot, Mosby. St. Louis, Mo, USA: Wiley-Blackwell; 1966.

    Google Scholar 

  17. Ney GC. An operation for ingrowing toe nails. JAMA. 1923;80(6):374.

    Article  Google Scholar 

  18. Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. J Pediatr. 162(2):398–402.

    Google Scholar 

  19. 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.

    Article  CAS  PubMed  Google Scholar 

  20. 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.

    CAS  PubMed  Google Scholar 

  21. 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.

    Google Scholar 

  22. 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.

    Article  CAS  PubMed  Google Scholar 

  23. 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.

    PubMed  Google Scholar 

  24. Winograd AM. A modification in the technic of operation for ingrown toenail. JAMA. 1929;92(3):229–30.

    Article  Google Scholar 

  25. 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.

    PubMed  Google Scholar 

  26. Morkane AJ, Robertson RW, Inglis GS. Segmental phenolization of ingrowing toenails: a randomized controlled study. Br J Surg. 1984;71(7):526–7.

    Article  CAS  PubMed  Google Scholar 

  27. 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.

    Google Scholar 

  28. Grieg JD et al. The surgical treatment of ingrowing toenails. J Bone Joint Surg Br. 1991;73(1):131–3.

    Article  CAS  PubMed  Google Scholar 

  29. 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.

    Article  CAS  PubMed  Google Scholar 

  30. Bos AMC et al. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94(3):292–6.

    Article  CAS  PubMed  Google Scholar 

  31. Korkmaz M et al. Teenage patients with ingrown toenails: treatment with partial matrix excision or segmental phenolization. Indian J Dermatol. 2013;58(4):327.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med. 10(6):556–9.

    Google Scholar 

  33. 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.

    PubMed  Google Scholar 

  34. 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.

    Article  CAS  PubMed  Google Scholar 

  35. 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.

    Article  PubMed  Google Scholar 

  36. 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.

    PubMed  Google Scholar 

  37. Perry E et al. A comparison of four nail-conserving procedures for ingrowing toenail. Br J Surg. 1984;71(11):912.

    Google Scholar 

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Correspondence to Arif Razak .

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41140-8

  • Online ISBN: 978-3-319-41142-2

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