TITLE:
Ingrowing Nail Correction by Advancing Composite Flap of the Nailbed and Periosteum—A Simple and Effective Technique
AUTHORS:
Adil Mohammed Hashish, Medhat Emil Habib, Said Al-Busaidi
KEYWORDS:
Ingrowing; Toenail; Fingernail; Composite Flap; Nailbed
JOURNAL NAME:
Modern Plastic Surgery,
Vol.4 No.2,
April
11,
2014
ABSTRACT:
Ingrowing toenails are
common particularly in young adults. They usually result in a prolonged period
of discomfort or pain that is sufficient to interfere with working and social
activities. Apart from the toes, ingrowing nails can affect the fingers as
well. Surgery is still the mainstay of treatment. A number of techniques have
been described in the literature. But in all there is a high recurrence rate
and sometimes the cosmetic result is not acceptable. In this article we
describe our technique of surgical management of ingrowing nails of the toes
and fingers. The technique involves excision of a part of the lateral nail fold
and raising a composite flap consisting of the nail bed and the
underlying periosteum which is then advanced. 105 cases were operated using
this technique with very good postoperative results.