THE COMPARISON OF ELECTROCAUTERY AND CURETTAGE OF THE NAILBED FOR THE TREATMENT OF INGROWN TOENAIL

Yıl 2014, Cilt: 19 Sayı: 3, 126 - 129, 06.01.2015

Mustafa Isik , Oguz Cebesoy Mehmet Subasi Burcin Karsli , Duran Topak , Fethi Bilgin

Öz

Background and aim: The ingrown toenail is a condition of the active young population that often seriously impairs the patient’s comfort, causing distress to walk, which is seen in the second and the third decades. We aimed to compare two different treatment techniques for that disease.

Methods: A total of 80 patients who underwent surgery, using the Winograd technique, due to an ingrown toenail were included. The mean age of the patients was 29 (21-44) years. There were 32 female (40.0%), and 48 male (60.0%) patients. The patients were divided into two groups: Group 1 (n = 40) consisted of patients in whom electrocautery was applied during the surgery, whereas in Group II (n = 40) curettage was done. Recurrence, and infection rates were compared.

Results: The statistical analysis revealed no significant difference between the two groups in terms of recurrence, and infection rates (p> 0.005).

Conclusion: Our results showed that there is no superiority of one of these methods to the other in terms of the recurrence, and infection rates.

Keywords: Ingrown toenail, winograde, matricectomy, curettage, electrocautery

Anahtar Kelimeler

Ingrown toenail, winograd, matricectomy, curettage, electrocautery

Kaynakça

• Winograd AM. Modification in the technique of
• operation for ingrown toe-nail.1929. J Am Podiatric
• Med Assoc 2007; 97: 274-277. 9. Foulston J. Ingrowing Toe Nail. In: Helal B, Wilson D The foot. New York: Churchill Livingstone 1988; (2): 858-867.
• Siegle RJ, Stewart R. Recalcitrant ingrowing nails. Surgical approaches. J Dermatol Surg Oncol 1992; 18: 744-752.
• Wallace WA, Milne DD, Andrew T. Gutter treatment for ingrowing toenails. Br Med J 1979; 2: 168-171.
• Senapati A. Conservative outpatient management of ingrowing toenails. J R Soc Med 1986; 79: 339-340.
• Erdogan FG, Erdogan G. Long-term results of nail brace application in diabetic patients with ingrown nails. Dermatol Surg 2008; 34: 84-87.
• Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH, Hermans J, van Det RJ. Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg 2002; 137: 320-325.