[Recurrence and satisfaction levels following onysectomy with or without phenolization].
OBJECTIVE
To compare recurrence and satisfaction levels among patients undergoing onysectomy with phenolization (OP) and without phenolization (OS).


METHODS
Retrospective cohort study.


METHODS
Family practice unit.


METHODS
All patients (N = 35) undergoing onysectomy between September 1992 and May 1993, and between January 1996 and February 1997.


METHODS
Type of onysectomy (OP or OS) was taken from the patient's medical record. A telephone interview was used to determine whether patients had experienced recurrence; satisfaction was measured retrospectively at diagnosis, at time of surgery, and after surgery using a five-point scale (very unsatisfied to very satisfied).


RESULTS
Among the 30 patients interviewed by telephone, four of the six patients in the OS group experienced recurrence, and four of the 24 patients in the OP group experienced recurrence. (Fisher's exact test, P = .007). In the OS group, satisfaction levels at diagnosis, during surgery, and after surgery were 4.7, 4.5, and 4.2, respectively. In the OP group, satisfaction levels at these three points were 4.3, 4.2, and 4.4, respectively. Notwithstanding technique used, a connection was noted between recurrence and satisfaction level at the time of the telephone interview (repeated measures test, P = .036).


CONCLUSIONS
In general medicine, onysectomy with phenolization could be the treatment of choice for ingrown toenails.
Légaré
F
F
Centre hospitalier universitaire de Québec. france.legare@mfa.ulaval.ca
Dubé
S
S
Naud
A
A
Laperrière
L
L
Turcot
L
L
D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D009263:Nails, Ingrown / Q000601:surgery*; D017060:Patient Satisfaction; D010636:Phenols / Q000627:therapeutic use*; D012008:Recurrence; D012189:Retrospective Studies; D014034:Toes / Q000601:surgery; D016896:Treatment Outcome
D010636:Phenols