Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser.
BACKGROUND
The effectiveness of partial nail avulsion followed by matricectomy with carbon dioxide (CO2) laser for the treatment of ingrown great toenails remains unclear.


OBJECTIVE
This study sought to determine the effectiveness of partial nail avulsion followed by matricectomy with sharpulse CO2 laser in the treatment of recurrent ingrown great toenails associated with granulation tissue.


METHODS
Fourteen patients with a total of 18 recurrent ingrown great toenails were randomly selected for participation in this study. Partial nail avulsions followed by matricectomy with sharpulse CO2 laser were performed on the involved nails. After at least 6 months, we evaluated the recurrence of ingrown toenails, regrowth of the nail spike, duration of post-treatment pain and post-treatment infection.


RESULTS
Partial nail avulsion followed by matricectomy with sharpulse CO2 laser in the treatment of ingrown toenails resulted in a high cure rate, short postoperative pain duration and low risk of postoperative infection.


CONCLUSIONS
This method we advocate is convenient and effective for the treatment of recurrent ingrown great toenail associated with granulation tissue.
Yang
Kuo-Chia
KC
Department of Dermatology, Changhua Christian Hospital, Chung Shan Medical University, Taiwan. 2544@cch.org.tw
Li
Yung-Tsai
YT
D000293:Adolescent; D000328:Adult; D002245:Carbon Dioxide; D005260:Female; D005500:Follow-Up Studies; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009263:Nails, Ingrown / Q000150:complications / Q000601:surgery*; D014034:Toes / Q000473:pathology / Q000601:surgery*
D002245:Carbon Dioxide