title: Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser.
abstract: 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.
authors.affiliation: Department of Dermatology, Changhua Christian Hospital, Chung Shan Medical University, Taiwan. 2544@cch.org.tw
authors.forename: Kuo-Chia
authors.initials: KC
authors.lastname: Yang
authors.forename: Yung-Tsai
authors.initials: YT
authors.lastname: Li
mesh_terms: 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*
chemical_list: D002245:Carbon Dioxide