Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan-Feb;96(1):47-50.
doi: 10.1016/j.abd.2020.04.012. Epub 2020 Nov 18.

Six steps to standardize the surgical approach for ingrown toenail

Affiliations

Six steps to standardize the surgical approach for ingrown toenail

Han Ma. An Bras Dermatol. 2021 Jan-Feb.

Abstract

Background: Dermatologists don't have a good knowledge of the surgical treatment for ingrown toenails and there is no consensus on which is the best approach.

Objective: To develop an easy and effective surgical approach to solve the problem of ingrown toenails.

Methods: We identified 67 patients with ingrown toenails in varying degrees of severity which were treated with the standardized approach.

Results: All the patients had a completely recovery from the disease and none complained about the cosmetic result.

Study limitations: The number of cases is limited.

Conclusion: The standardized surgical approach is easily learned and very effective. The recurrence rate is lower than with other treatments.

Keywords: Nails, ingrown; Orthopedics; Surgery, plastic.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Standardized six steps for ingrown toenail.
Figure 2
Figure 2
Post-operative healing process. (A) 3rd day, (B) 4th day, (C) 5th day, (D) 6th day, (E) 14th day, (F) 4th week.
Figure 3
Figure 3
Cosmetic result. (A), Preoperative image. (B), After stitch removal on the 14thday. (C), Follow-up after one year.
Figure 4
Figure 4
Key points. (A), Large masses in triangular regions. (B), Thick nail plate. (C), Remove the entire nail plate before the operation. (D), Management with water-filtered infrared-A (wIRA).

Comment in

References

    1. Richert B. Surgical management of ingrown toenails - an update overdue. Dermatol Ther. 2012;25:498–509. - PubMed
    1. Rounding C., Bloomfield S. Surgical treatments for ingrowing toenails. Cochrane Database Syst Rev. 2005;18:CD001541. - PubMed
    1. Aljasir A., Pierson T., Hoffmann G., Menke H. Management of donor site infections in split-thickness skin graft with water-filtered infrared-A (wIRA) GMS Interdiscip Plast Reconstr Surg DGPW. 2018;7:Doc03. - PMC - PubMed
    1. Ashique K.T., Grover C. The “Y” technique: An attempt to standardize nail dressing. J Am Acad Dermatol. 2018;78:e103–e104. - PubMed

LinkOut - more resources