title: A simple, pain-free treatment for ingrown toenails complicated with granulation tissue.
abstract: BACKGROUND
  The treatment of ingrown toenail complicated with granulation tissue is usually partial or total nail avulsion with or without matricectomy. It costs loss of occupational power, however, because most patients cannot go to work or school for some time after surgery, and it is a costly and uncomfortable procedure for most patients.
  
  
  OBJECTIVE
  This study aimed to find an easy, painless, and inexpensive alternative.
  
  
  METHODS
  Seven patients with ingrown toenails complicated with granulation tissue are included. A small apparatus was applied on the nails, granulation tissue was chemically cauterized, and a foot bath was recommended twice daily. They were followed on a weekly basis or every other week until recovery. None of the patients received systemic treatment.
  
  
  RESULTS
  All seven patients were completely cured without requiring surgery and/or systemic treatment. The procedure did not have any effect on their daily life. The follow-up examination of the patients at 6 months revealed that they were totally cured, and there were no recurrences.
  
  
  CONCLUSIONS
  Patients with ingrown toenails complicated by granulation tissue might have an inexpensive and pain-free treatment alternative, although new studies with more patients are required.
authors.affiliation: Department of Dermatology, Ufuk University School of Medicine, Ankara, Turkey. gulruer@gmail.com
authors.forename: F Gülru
authors.initials: FG
authors.lastname: Erdogan
mesh_terms: D000293:Adolescent; D000328:Adult; D002424:Caustics / Q000008:administration & dosage; D005260:Female; D006097:Granulation Tissue / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D009263:Nails, Ingrown / Q000473:pathology / Q000601:surgery*; D010147:Pain Measurement; D012835:Silver Nitrate / Q000008:administration & dosage; D053831:Surgical Fixation Devices; D014034:Toes / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D002424:Caustics; D012835:Silver Nitrate