Phenol cauterization for ingrown toenails.
(25/34)
A new clinic was set up to deal with all toenail problems referred to a large general hospital. Ingrowing toenails were the commonest problem dealt with and phenol cauterization, either partial or complete, was the standard form of treatment. Over a 2-year period 1013 phenol cauterizations were carried out on 631 patients. After a minimum of 12 months follow-up, the recurrence rate was 2.96%. All recurrences were successfully treated by repeat phenol cauterization. We conclude that phenol cauterization should replace surgical ablation in the treatment of ingrown toenails. (+info)
Treatment of ingrowing toenails with liquid nitrogen spray cryotherapy.
(26/34)
Ingrowing toenails are a common debilitating condition and often require surgical intervention. In 44 patients liquid nitrogen spray cryotherapy produced a rate of success comparable with that of other nail sparing techniques but had the advantage of being a quick, simple, and cheap outpatient procedure that could be carried out with limited facilities and without anaesthesia. (+info)
Ingrowing toenails and tetraplegia.
(27/34)
Nearly half the tetraplegic patients examined in a spinal injuries clinic had suffered ingrowing of the great toenail only after the injury to their spinal cord. This article describes the features of this common condition. (+info)
A simple procedure with nail preservation for ingrowing toe-nails.
(28/34)
The numerous methods used for treating ingrowing toe-nails are testimony to the lack of a generally acceptable procedure with a low failure rate. A simple procedure with nail preservation is described, and the results of treatment assessed. The procedure consists of making a transposition flap of the nail wall after preliminary curettage of the granulation tissue in the nail groove. A total of 82 patients were treated by this method over a 3-year period, and the results in 63 patients were assessed between 18 months and 3 years after surgery. A total of 120 operations were carried out and 110 (92%) were successful. The treatment is effective, well tolerated, not technically difficult, and should be considered as an alternative to current methods of treatment. (+info)
Gutter treatment for ingrowing toenails.
(29/34)
The gutter treatment for ingrowing toenails consists of introducing a small guard along the side of the toenail and requires only three outpatient attendances. The gutter is left in place for eight to 12 weeks and then removed by the patient. Two studies were carried out to establish the long-term results of the method. In one, a preliminary retrospective study, 13 out of 25 patients who had received the gutter treatment were cured after one year compared with five out of 15 patients in whom the toenail had been avulsed. In a randomised prospective study 20 out of 36 patients (56%) treated by the gutter method were cured after one year compared with 27 out of 32 (84%) in whom the wedge resection procedure had been used. The gutter treatment demands little skill and may be carried out in general practice. It gives an excellent cosmetic result with immediate pain relief and does not compromise further surgery should this be required, thus fulfilling the main requirements for the primary treatment of choice. (+info)
Subungual malignant melanoma: difficulty in diagnosis.
(30/34)
Subungual malignant melanoma developed on both great toes of a 61-year-old woman. The lesions had been diagnosed elsewhere as ingrowing toenails and had been treated as such for two years. The difficulty in clinical diagnosis is illustrated by the description of three other patients with subungual malignant melanoma. The tumour should be considered as a possible cause of any persistent abnormality of the nail bed or the nail itself, especially if it is pigmented. (+info)
"Doctor, my feet hurt".
(31/34)
Many patients complain of painful feet. While this problem may seem minor to the physician, it causes the patient considerable distress. Some of these conditions are readily amenable to treatment; others require continuing care. Much relief can be given by simple office procedures and by correcting ill-fitting footwear. (+info)
Radical excision of the nailfold for ingrowing toenail.
(32/34)
A simple method of treatment for ingrowing toenail by radical excision of the affected nailfold is described. The results in a prospective series of 50 patients are presented. This procedure, first described in 1872, does not destroy the nail, which heals to give an excellent cosmetic result. The recurrence rate after 18 months was 20 per cent, which compares favourably with procedures in which the nailbed is ablated. This method is proposed as an alternative to more complex procedures, especially when a cosmetic result is desired. (+info)