RESUMO
Congenital micronychia may involve big toes or may involve other nails. The etiology of micronychia is not clear but amniotic bands, teratogens (drugs, alcohol), Nail Patella Syndrome etc. A 44-year-old woman with multiple isolated congenital micronychia over her hands and feet was selected. The major affected nails were thumbs and Index fingers. Surgical method were done step by step: Anesthesia of the area, extraction of short nail, elevation of nail bed, longitudinal nail bed incisions, suturing the lateral nail bed to the nail wall, covering the nail bed by a splint of plastic suction tube, bandage with gauze Vaseline. Finally, we hypnotized that in congenital micronychia, the main pathology is in nail bed; through this theory by nail bed expansion better outcomes are coming.
RESUMO
BACKGROUND: Pincer nail is a kind of nail deformity characterized by a transverse overcurvature of the nail that increases along the longitudinal axis. Many conservative and surgical treatment modalities have been reported. PURPOSE: Widening the nail bed and use of aspiration tube splint in pincer nail surgery. MATERIALS AND METHODS: Pincer nail was treated by surgery with splinting in 11 patients. In this procedure, the nail bed is enlarged in a transverse direction using incisions on the nail bed. RESULTS The postoperative follow-up ranged from 12 to 19 months (mean 15 months). Excellent results were obtained in all patients. No further complications were reported. CONCLUSIONS: The splint can prevent contracture of the nail matrix and nail bed. Widening and flattening the nail bed using an aspiration tube splint provided a longstanding effective treatment of pincer nail deformity and pain relief. The authors have indicated no significant interest with commercial supporters.
