Outcome of partial nail avulsion followed by partial matricectomy with 88% phenol in management of ingrown toe nail

Authors

  • M. Alauddin Khan Department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Mohammod Abu Hena Chowdhury Department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Lubna Khondker Department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Rahmat Ullah Siddiquie Department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Dilshad Afroze Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • M. Alauddin Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250233

Keywords:

Ingrown toenails, Partial nail avulsion, Matricectomy, Phenol

Abstract

Background: Ingrown toenail (onychocryptosis) is a common and painful condition where the toenail grows into the surrounding skin, often causing inflammation, pain, infection and frequent recurrence. The condition most frequently affects the great toe and is common in adolescents and young adults. The aim of this study was to evaluate the outcomes of partial nail avulsion followed by partial matricectomy with phenol (88%) in the management of ingrown toenails of stage 2 and 3.

Methods: This was an observational study and was conducted in the department of dermatology in Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period from April 2023 to May 2024. In total 30 patients both male and female are included in the study. After surgery patients were followed up at 7th and 14th day for wound inspection and 4th and 6th week for post operative complication and then at 3 months interval for recurrence and late complication. Statistical analysis was done by using SPSS (statistical package for social science) version 23 for windows 10.

Results: In our study we found the mean age was 10±6.24 years. The participants, 36.67% had undergone previous surgery. Our results show, the (VAS) with a mean score of 1.8±1.7 on postoperative day 1, 1.2±1.4 on day 2, and 0.2±0.1 by the second postoperative week and the mean healing time was 12.3±3.1 days. We also found, 29 patients were completely recovered and the recurrence of ingrown toenails occurred in 3.3% of cases.

Conclusions: Partial nail avulsion with phenol matricectomy is an effective treatment for ingrown toenails, offering long-term relief with low recurrence rates.

Metrics

Metrics Loading ...

References

Delauro NM, Delauro MT. Oncocryptosis. Clin Podiatr Med Surg. 2004;21(4):617-30. DOI: https://doi.org/10.1016/j.cpm.2004.05.009

Yang G, Yanchar NL, Lo AY, Jones SA. Treatment of ingrown toenails in the pediatric population. J Pediatr Surg. 2008;43(5):931-5. DOI: https://doi.org/10.1016/j.jpedsurg.2007.12.042

Siegle RJ, Stewart R. Recalcitrant in growing nails. J Dermatol Surg Oncol. 1992;18(8):744-52. DOI: https://doi.org/10.1111/j.1524-4725.1992.tb02009.x

Ceilley RI, Collison DW. Matricectomy. J Dermatol Surg Oncol. 1992;18(8):728-34. DOI: https://doi.org/10.1111/j.1524-4725.1992.tb02007.x

Lloyd DRW, Brill GC. The aetiology and out-patient treatment of ingrowing toenails. Br J Surg. 1963;50:592-7. DOI: https://doi.org/10.1002/bjs.18005022407

Scher RK. Toenail disorders. Clin Dermatol. 1983;1(1):114-24. DOI: https://doi.org/10.1016/0738-081X(83)90046-9

Fishman HC. Practical therapy for ingrown toenails. Cutis. 1983;32(2):159-60.

Rejinen JAM, Goris RJA. Conservative treatment of ingrowing toenails. Br J Surg. 1989;76(9):955-7. DOI: https://doi.org/10.1002/bjs.1800760928

Thomas JZ, Pfenninger JL. Management of ingrown toenails Aust Fam Physician. 1995;52(1):181-8.

Wallace WA, Milne DD, Andrew T. Gutter treatment for ingrowing toenails. BMJ. 1979;2(6183):168-71. DOI: https://doi.org/10.1136/bmj.2.6183.168

Murray WR, Bedi BS. The surgical management of ingrowing toenail. Br J Surg. 1975;62(5):409-12. DOI: https://doi.org/10.1002/bjs.1800620522

Murray WR. Management of ingrowing toenail. Br J Surg. 1989;76(9):883-5. DOI: https://doi.org/10.1002/bjs.1800760902

Boll O. Surgical correction of ingrowing nails. J Nat Asso Chiropodists. 1945;35:8-9.

Langford DT, Burke C, Robertson K. Risk factors in onychocryptosis. Br J Surg. 1989;76(1):45-8. DOI: https://doi.org/10.1002/bjs.1800760114

Mitchell S, Jackson CR, Wilson-Story D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Sur Engl. 2011;93(2):102. DOI: https://doi.org/10.1308/003588411X12851639107674

Reyzelman AM, Trombello KA, Vayser DJ, Armstrong DG, Harkless LB. Are antibiotics necessary in the treatment of locally infected ingrown toe nails? Arch Med. 2000;9(9):930-2.

Camurcu Y, Sofu H, Issin A, Kockara N, Saygili H. Operative treatment of the ingrown toenail with a less-invasive technique: flashback to the original Winograd technique. Foot Ankle Spec. 2018;11(2):138-41. DOI: https://doi.org/10.1177/1938640017713615

Bostanci S, Kocyigit P, Parlak N, Gungor HK. Chemical matricectomy with sodium hydroxide: long-term followup results. Dermatol Surg. 2014;40(11):1221-4. DOI: https://doi.org/10.1097/DSS.0000000000000136

Tatlican S, Yamangöktürk B, Eren C, Eskioğlu F, Adiyaman S. Comparison of phenol applications of different durations for the cauterization of the germinal matrix: An effi cacy and safety study. Acta Orthop Traumatol Turc. 2009;43(4):298-302. DOI: https://doi.org/10.3944/AOTT.2009.298

Eekhof JA, Van Wijk B, Knuistingh Neven A, van der Wouden JC. Interventions for ingrowing toenails. Cochrane Database Syst Rev. 2012;4:CD001541. DOI: https://doi.org/10.1002/14651858.CD001541.pub3

Vural S, Bostanci S, Koçyigit P, Çaliskan D, Baskal N, Aydin N. Risk Factors and Frequency of Ingrown Nails in Adult Diabetic Patients. J Foot Ankle Surg. 2018;57(2):289-95. DOI: https://doi.org/10.1053/j.jfas.2017.10.006

Karaca N, Dereli T. Treatment of ingrown toenail with proximolateral matrix partial excision and matrix phenolization. Ann Fam Med. 2012;10(6):556-9. DOI: https://doi.org/10.1370/afm.1406

Vaccari S, Dika E, Balestri R, Rech G, Piraccini BM, Fanti PA. Partial excision of matrix and phenolic ablation for the treatment of ingrowing toenail: a 36-month follow-up of 197 treated patients. Dermatol Surg. 2010;36(8):1288-93.

Tatlican S, Eren C, Yamangokturk B, Eskioglu F. Letter: Retrospective comparison of experiences with phenol and sodium hydroxide in the treatment of ingrown nail. Dermatol Surg. 2010;36(3):432-4. DOI: https://doi.org/10.1111/j.1524-4725.2009.01466.x

Di Chiacchio N, Di Chiacchio NG. Best way to treat an ingrown toenail. Dermatol Clin. 2015;33(2):277-82. DOI: https://doi.org/10.1016/j.det.2014.12.009

Chiacchio ND, Belda W Jr, Chiacchio NG, Kezam Gabriel FV, de Farias DC. Nail matrix phenolization for treatment of ingrowing nail: Technique report and recurrence rate of 267 surgeries. Dermatol Surg. 2010;36(4):534-7. DOI: https://doi.org/10.1111/j.1524-4725.2010.01490.x

Vaccari S, Dika E, Balestri R, Rech G, Piraccini BM, Fanti PA. Partial excision of matrix and phenolic ablation for the treatment of ingrowing toenail: a 36‐month follow‐up of 197 treated patients. Dermatologic Surg. 2010;36(8):1288-93. DOI: https://doi.org/10.1111/j.1524-4725.2010.01624.x

Hassel JC, Hassel AJ, Loeser C. Phenol chemical matricectomy is less painful, with shorter recovery times but higher recurrence rates, than surgical matricectomy: a patient's view. Dermatologic Surg. 2010;36(8):1294-9. DOI: https://doi.org/10.1111/j.1524-4725.2010.01625.x

Shaikh FM, Jafri M, Giri SK, Keane R. Efficacy of wedge resection with phenolization in the treatment of ingrowing toenails. J Am Podiatr Med Assoc. 2008;98(2):118-22. DOI: https://doi.org/10.7547/0980118

Ozan F, Dogar F, Altay T, Ugur SG, Koyuncu S. Partial matricectomy with curettage and electrocautery: a comparison of two surgical methods in the treatment of ingrown toenails. Dermatologic Surg. 2014;40(10):1132-9. DOI: https://doi.org/10.1097/DSS.0000000000000129

Bos AM, Van Tilburg MW, Van Sorge AA, Klinkenbijl JH. Randomized clinical trial of surgical technique and local antibiotics for ingrowing toenail. Br J Surg. 2007;94:292-6. DOI: https://doi.org/10.1002/bjs.5691

Reyzelman AM, Trombello KA, Vayser DJ, Armstrong DG, Harkless LB. Are antibiotics necessary in the treatment of locally infected ingrown toenails? Arch Fam Med. 2000;9:930-2. DOI: https://doi.org/10.1001/archfami.9.9.930

Downloads

Published

2025-01-30

How to Cite

Alauddin Khan, M., Chowdhury, M. A. H., Khondker, L., Siddiquie, R. U., Afroze, D., & Alauddin, M. (2025). Outcome of partial nail avulsion followed by partial matricectomy with 88% phenol in management of ingrown toe nail. International Journal of Research in Medical Sciences, 13(2), 657–661. https://doi.org/10.18203/2320-6012.ijrms20250233

Issue

Section

Original Research Articles