Korean J Dermatol.  2014 Aug;52(8):554-558.

Success Rates of Multiple Treatments for Ingrown Nails

Affiliations
  • 1Department of Dermatology, College of Medicine, Korea University, Ansan, Korea. kumcihk@korea.ac.kr

Abstract

BACKGROUND
An ingrown nail is a common condition of inflammation and infection that can occur when nails are clipped too much or pressure is applied by tight shoes. In Korea, a study on the success of tube insertion after nail guttering has been reported, but studies including other treatments are lacking.
OBJECTIVE
To evaluate the success rates of three treatments for ingrown nails: 1) nail splinting via a flexible tube; 2) partial nail extraction and electrocautery; or 3) partial nail extraction and phenol cauterization.
METHODS
Fifty-one patients who underwent nail splinting via a flexible tube or partial nail extraction followed by either electrocautery or phenol cauterization of the nail matrix over a 6-year period at our hospital were evaluated for treatment outcome. The disease severity was classified using the Heifetz grading scale. We evaluated the success rates of the various treatments according to reduced disease severity. Treatment failure was defined as persistence or re-occurrence of disease symptoms.
RESULTS
1. Out of 51 cases of ingrown nails, 31 (60%) showed no recurrence after treatment. 2. There were conflicting results between the severity grade and success rate. 3. Treatment via partial nail extraction and either electrocautery or phenol cauterization was more effective (success rates of 63% and 60%, respectively) than nail splinting via a flexible tube (56% success rate). However, the results were not statistically significant.
CONCLUSION
Selecting the proper therapeutic method is important for successful treatment of an ingrown nail.

Keyword

Ingrown nail; Partial nail extraction; Phenol cauterization; Plastic tube insertion

MeSH Terms

Cautery
Electrocoagulation
Humans
Inflammation
Korea
Nails, Ingrown*
Phenol
Recurrence
Shoes
Splints
Treatment Failure
Treatment Outcome
Phenol
Full Text Links
  • KJD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error