ABSTRACT
Pincer nails are a kind of nail deformity characterized by abnormal thickening and distal transverse overcurvature of the nail plate,whose etiology and pathogenesis are still unclear.According to the morphology of the nail plate,pincer nails can be divided into three subtypes:common pincer nail (trumpet nail),tile-shaped nail,and plicated nail.Width index,height index and curvature index are objective indicators to evaluate the severity and therapeutic effect of the pincer nails.According to the classification and severity of the pincer nails,appropriate treatment methods can be adopted to improve the appearance of the nail plate and relieve clinical symptoms of patients.This review systematically summarizes the classification of,evaluation of the severity of and several therapeutic methods for pincer nails.
ABSTRACT
Nail unit is an important structure for both aesthetic appearance and functional capability of the fingers and toes, and any defect or lesion at this anatomical site would lead to nail unit deformity. Surgical repair is the main treatment for such deformity. According to etiological and anatomical classification, appropriate surgical procedures can be chosen to repair the nail unit deformity, including autologous fat grafting, split-thickness nail bed grafting, full-thickness nail matrix grafting, nail bed elongation, palmar V-Y advanced flap reconstruction and so on. This review systematically summarizes classification of the nail unit deformity and associated surgical repair techniques.
ABSTRACT
Nail unit is an important structure for both aesthetic appearance and functional capability of the fingers and toes,and any defect or lesion at this anatomical site would lead to nail unit deformity.Surgical repair is the main treatment for such deformity.According to etiological and anatomical classification,appropriate surgical procedures can be chosen to repair the nail unit deformity,including autologous fat grafting,split-thickness nail bed grafting,full-thickness nail matrix grafting,nail bed elongation,palmar V-Y advanced flap reconstruction and so on.This review systematically summarizes classification of the nail unit deformity and associated surgical repair techniques.
ABSTRACT
@#Nail surgery is often regarded difficult and therefore a neglected part of dermatologic surgery. However, the nails are cutaneous appendages with many different diseases, the diagnosis of which is an integral part of every dermatologist’s daily routine. It is not different from surgery of other skin areas and there should be no reason for the patient and the dermatologist not to perform a surgical act on the nail.
ABSTRACT
Introdução: A paroníquia crônica é uma doença infl amatória da prega ungueal proximal (PUP) com duração maior que seis semanas. Esta condição representa 18% das distrofi as ungueais. Caracteriza-se clinicamente por infl amação da PUP, ausência de cutícula e distrofi a da placa ungueal. O tratamento clínico é frequentemente insatisfatório. Já o tratamento cirúrgico consiste na retirada da PUP, que pode ser realizada pelas técnicas de incisão oblíqua ou perpendicular. Objetivo: Comparar a efi cácia entre as técnicas cirúrgicas oblíqua e perpendicular para o tratamento da paroníquia crônica. Material e métodos: Sessenta e dois pacientes com paroníquia crônica em um ou mais quirodáctilos (em um total de 138 casos operados) foram divididos de forma randomizada em dois grupos, conforme a técnica utilizada. A avaliação pós-operatória foi realizada após seis meses e foi utilizada uma escala de três pontos: sem melhora, melhorado e curado. Resultados: Cento e trinta e quatro casos (97,1%) foram considerados curados e quatro (2,9%), dois de cada grupo, foram considerados melhorados. Conclusão: Concluímos em nosso estudo que o tratamento cirúrgico é efetivo na paroníquia crônica, a despeito da técnica empregada.
Background and Objectives: Chronic paronychia is an infl ammatory disorder of the proximal nail fold (PNF) lasting more than six weeks, and accounts for 18% of nail dystrophies. Clinically, it is characterized by infl ammation of the PNF, absence of the cuticle, and dystrophy of the nail plate. Clinical treatment is, frequently, unsatisfactory. Surgical treatment consists on the removal of the PNF, which can be done using the oblique or perpendicular incision technique. The objective of the present study was to compare the effi cacy of oblique and perpendicular surgical techniques in the treatment of chronic paronychia. Methods: Sixty-two patients with chronic paronychia, in one or more fi ngers (for a total of 138 surgeries), were randomly divided in two groups according to the surgical technique used. Postoperative evaluation was done after six months using a three-point scale: absence of improvement, improved, cured. One hundred and thirty-four cases (97.1%) were considered cured, and 4 (2.9%), two in each group, were considered as having improved. Conclusion: In the present study, we concluded that the surgical treatment of chronic paronychia is effective, regardless of the technique used.
ABSTRACT
A 63-year-old woman had pronounced pincer nail of her big toenails. Her nail condition was markedly painful and associated with the underlying osteophyte. Under digital anaesthesia the nail plate was completely avulsed and the lateral portions of the matrix were destroyed by electrodessication. Then a longitudinal incision of the distal nail bed was made to separate it from the underlying structure and to expose the osteophyte. The exposed osteophyte was removed and the nail bed was sutured. Tie-under sutures were used to hold the bed in the appropriate transverse curvature. With this surgical correction, the treated nail showed a normal shape at 18 months of follow-up.