Modified sleeve method treatment of ingrown toenail.
BACKGROUND
Ingrown toenail is a common problem that causes inconvenience, pain, and limitation of daily function. Current conventional treatment methods are not satisfactory and have a high recurrence rate.


OBJECTIVE
To evaluate a modification of an existing, although uncommonly used, method for treating ingrown toenail.


METHODS
Patients with ingrown toenail were treated under local anesthesia by insertion of a flexible narrow plastic tube under the toenail along its lateral border. Tube fixation was performed with silk or nylon 2-0 sutures passed through the toenail. Granulomatous and inflamed tissue was removed by electrocautery or local excision.


RESULTS
Twenty-eight procedures were performed in 25 patients. In 20 procedures (71.4%), no recurrences were recorded; the other 8 procedures (28.6%), were symptomatic.


CONCLUSIONS
This method for the treatment of ingrown toenail was found to be simple and efficient, with a relatively low recurrence rate. Therefore we currently advocate this procedure as the treatment of choice.
Abby
Naimer Sody
NS
Goosh Katif Health Center, Israel. sody@bgumail.bgu.ac.il
Roni
Peleg
P
Amnon
Biton
B
Yan
Press
P
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D009263:Nails, Ingrown / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D013536:Suture Techniques; D016896:Treatment Outcome