SCHOLL Ingrowing Toenails

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Yang KC, Li YT. Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. Dermatol Surg. 2002;28(5):419-421. Ensure the lateral horn of the matrix is ablated by moving the electrode laterally beneath the proximal nail fold; a properly treated nail bed appears white after thermal ablation. Apply 10% sodium hydroxide with a cotton-tipped applicator. Vigorously rub on the lateral horn of the nail matrix for one minute. Rigopoulos D, Larios G, Gregoriou S, et al. Acute and chronic paronychia. Am Fam Physician. 2008;77(3):339-346. Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619-626.

Ozdemir E, Bostanci S, Ekmekci P, et al. Chemical matricectomy with 10% sodium hydroxide for the treatment of ingrowing toenails. Dermatol Surg. 2004;30(1):26-31. Provide informed surgical consent and place the patient in the supine position, with the knees flexed and the foot flat on the table or the leg extended and the foot hanging off the end of the table. Nishioka K, Katayama I, Kobayashi Y, et al. Taping for embedded toenails. Br J Dermatol. 1985;113(2):246-247.An ingrowing toenail typically affects teenagers and young adults the most. A number of things can cause an ingrowing toenail to develop and if left untreated, could pierce the skin. For any bleeding or discharge from an infection, or even excessive healing flesh (hypergranulation tissue) around the nail, antibiotics will be prescribed to manage the infection as well as having the offending spike removed Activate the electrode for 3 to 10 seconds. A short sizzling sound may be heard, and a small puff of smoke may be seen. Nazari S. A simple and practical method in treatment of ingrown nails: splinting by flexible tube. J Eur Acad Dermatol Venereol. 2006;20(10):1302-1306.

Another approach, which minimizes the need for daily replacement, uses cotton coated with a solution that fixes it in place and makes it waterproof (collodion).

Travers GR, Ammon RG. The sodium hydroxide chemical matricectomy procedure. J Am Podiatry Assoc. 1980;70(9):476-478. Placing a gutter splint under the nail. With this method, your health care provider numbs the toe and slips a tiny slit tube underneath the embedded nail. This splint stays in place until the nail has grown above the skin edge. This method helps ease the pain of an ingrown nail as well. Grover C, Khurana A, Bhattacharya SN, et al. Controlled trial comparing the efficacy of 88% phenol versus 10% sodium hydroxide for chemical matricectomy in the management of ingrown toenail. Indian J Dermatol Venereol Leprol. 2015;81(5):472-477. Dinulos JGH. Nail diseases. In Habif's Clinical Dermatology. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 12, 2021.

Bostanci S, Ekmekçi P, Gürgey E. Chemical matricectomy with phenol for the treatment of ingrowing toenail. Acta Derm Venereol. 2001;81(3):181-183. Sweaty feet can lead to softer skin around the nail, and a softer nail, so it becomes easier to bend the nail into the skin. After the nail has been removed, examine the lateral sulcus beneath the proximal nail fold to ensure no pieces of nail remain within the corner. Also examine the part of the nail removed. If part of the nail plate is missing, it must be identified and removed, or it will heal slowly and cause pain. Bos AM, van Tilburg MW, van Sorge AA, et al. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94(3):292-296.Apply directly to the nail matrix at the lateral sulcus and under the proximal fold two to three times for 30 to 60 seconds each round. Taping the nail. With this method, your health care provider pulls the skin away from the ingrown nail with tape. Reyzelman AM, Trombello KA, Vayser DJ, et al. Are antibiotics necessary in the treatment of locally infected ingrown toenails?. Arch Fam Med. 2000;9(9):930-932.