Objectives: Being familiar with the least invasive treatment options for ingrowing toe nails
Introduction: Ingrown toenails are a common problem both in young adults as well as in older patients. Treatment of this often very inflammatory and painful condition must be adapted to the original cause. The traditional standard treatment in many institutions, wedge excision or Emmert plasty, leads to high postoperative morbidity, unfavourable aesthetic results and high recurrence rates.
Materials / method: Literature Review and presentation of own cases
Results: If a deformation of the nail plate such as pincer nails is the cause of the ingrown nail, as is most often the case in adults with this problem, a more subtle treatment option with better postoperative results is phenol cautery of the matrix horns. If a wide, but not deformed nail plate which has been cut back too far or is broken off is the cause of the ingrowing nail, a conservative treatment should be used, including debridement of hypergranulation in local anaesthesia and sufficient antibiotic treatment, sometimes combined with surgical removal of lateral nail walls and/or splinting.
Conclusion: With these minimally invasive treatments, better post-operative results with less pain and better aesthetic outcomes can be achieved.
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