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- Presentation
My Surgical Tips for Nails and Hair
Description
The speaker shares various surgical tips for managing nails and hair procedures. For nails, it's essential to soak the nail beforehand for easier cutting and to use disinfectants like Chlorhexidine during the process. They recommend a glove technique to help with disinfecting and acting as a tourniquet. A seesaw technique is also suggested for cutting through the nail plate safely. For ingrown nails, using a dental roll as a bolster is effective. When sending specimens for pathology, orientation is crucial, and a paper template can help. For post-surgical care, using liquid crazy glue on the nail plate allows it to heal without visible gaps. Other techniques include the matrix pillow for easier removal of lesions and intraoperative dermoscopy to enhance visibility during surgery. In terms of hair procedures, a triple prong needle is highlighted for less painful injections, and the Figure 8 method is described for specimen removal, which simplifies the healing process by minimizing the treatment area. The speaker concludes by emphasizing the importance of these techniques in improving surgical outcomes for both nails and hair.
View moreConclusions
- Soaking nails before cutting makes the process easier and safer.
- Using gloves during nail procedures provides both protection and a means to disinfect the area.
- The seesaw technique minimizes the risk of slipping while cutting through the nail plate.
- Dental rolls serve effectively as bolsters for ingrown nails, offering improved support compared to traditional methods.
- Orientation of nail specimens is crucial when sending for pathology to ensure accurate diagnosis.
- Using glue after nail plate procedures can preserve the nail structure and enhance patient comfort.
- Intraoperative dermoscopy techniques assist in better visualization and handling of the nail matrix during procedures.
- Triple prong needles reduce pain and enable quicker injections during hair treatments.
- The Figure 8 biopsy technique offers a more efficient method for obtaining scalp specimens with reduced recovery complexity for the patient.
- Zaiac, M., Norton, E., Tosti, A.; The "submarine hatch" nail bed biopsy: Journal of the American Academy of Dermatology. October 2013
- Zaiac, Martin N, et al. "The Figure 8: A New Hair Biopsy Technique." Journal of the American Academy of Dermatology, vol. 71, no. 5, 1 Nov. 2014, pp. e201-e201.