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- Presentation
Nail-Sparing Treatment of Ingrown Toenails
Description
The presentation discusses nail-sparing treatments for ingrown toenails, emphasizing an effective approach to preserve the nail structure while addressing the underlying issues. The speaker highlights that ingrown toenails are often mismanaged with unnecessary antibiotics and aggressive surgical procedures. Instead, they advocate for methods like phenolization, which safely removes problematic tissue without causing trauma to the surrounding area. Surgical removal of the nail matrix is mentioned as a minimally invasive alternative for persistent cases. The speaker explains that these treatments lead to quick recovery, allowing patients to resume normal activities soon after. Additionally, cases of pseudocysts are briefly discussed, highlighting techniques for effective management without invasive procedures. The talk concludes with an invitation for questions, underscoring the need for awareness and improved practices in managing toenail-related conditions.
Conclusions
- There is significant variability in treatment approaches for ingrown toenails among healthcare providers.
- Many clinicians still prefer nonsurgical interventions over more invasive procedures for managing ingrown toenails.
- Matrix-directed techniques like phenolization can preserve the nail plate while effectively treating ingrown toenails.
- Highly invasive procedures are often employed despite the risk of irreparable damage.
- Minimally invasive options allow patients to resume normal activities soon after treatment.
- Proper treatment techniques can prevent unnecessary trauma and complications associated with traditional surgical methods.
- Dermatologists emphasize the importance of preserving surrounding nail structures during interventions.
- Pseudocysts should generally not be biopsied as it can lead to undesirable scarring.
- Dressler C, Nast A, Heuer R, Löser CR. Ingrown Toenails: A Survey Among Dermatologists on Current Treatments. Dermatol Surg 2024;1:260-266.