Surgical management of ingrown toenails – an update overdue
Article first published online: 4 DEC 2012
© 2012 Wiley Periodicals, Inc.
Volume 25, Issue 6, pages 498–509, November/December 2012
How to Cite
Richert, B. (2012), Surgical management of ingrown toenails – an update overdue. Dermatologic Therapy, 25: 498–509. doi: 10.1111/j.1529-8019.2012.01511.x
- Issue published online: 4 DEC 2012
- Article first published online: 4 DEC 2012
- ingrown nail;
- nail surgery
For decades, every year sees a wide number of articles about treatment of ingrown toenails. There is still a debate about the cause of this painful condition. Surgical treatments rely on two main approaches: either narrowing the nail plate or debulking the soft tissues. It is up to the surgeon to select the most appropriate approach in each case. All procedures cited in this article have high cure rates as long as they are properly performed. As with all surgical procedures, they are operator dependent. Chemical cautery is the easiest and most versatile technique that may help in almost all instances for lateral ingrowing. For distal embedding and very hypertrophic and exuberant lateral folds, debulking with secondary intention healing is the most effective and easy to perform, with great results.