title: Lateral foldplasty with or without partial matricectomy for the management of ingrown toenails.
abstract: BACKGROUND
  Ingrown toenails are common and lead to significant morbidity.
  
  
  OBJECTIVE
  This retrospective study was aimed at evaluation of our new surgical technique of lateral foldplasty with limited lateral matrix resection in some cases for the management of ingrown toenails with regard to recurrence rates, spicule formation, local infection, partial flap necrosis, and cosmetic outcome.
  
  
  METHODS
  Thirty-two patients with 52 ingrown nails were included in this study. Lateral foldplasty procedure alone was preferred for the surgical treatment of 18 ingrown toenails of mild to moderate severity. Lateral foldplasty with limited lateral matrix resection was performed in 34 ingrown nails in patients with broad nail plates or for moderate to severe cases with significant granulation tissue formation.
  
  
  RESULTS
  Relapse rate, local infection rate, and partial flap necrosis rate were very low. Spicule formation was not observed. The cosmetic appearance of the nail did not disturb any patient treated with this procedure.
  
  
  CONCLUSIONS
  The lateral foldplasty procedure alone or combined with limited lateral matrix resection is a cheap, simple, and satisfactory technique for the treatment of ingrown toenails with a low risk of relapse. This technique also has good cosmetic results.
authors.affiliation: Dermatology Clinic, TDV 29 Mayis Private Ankara Hospital, Ankara, Turkey. bmaksoy@mynet.com
authors.forename: Berna
authors.initials: B
authors.lastname: Aksoy
authors.forename: Hasan Mete
authors.initials: HM
authors.lastname: Aksoy
authors.forename: Ekrem
authors.initials: E
authors.lastname: Civas
authors.forename: Bahar
authors.initials: B
authors.lastname: Oc
authors.forename: Nilgun
authors.initials: N
authors.lastname: Atakan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009263:Nails, Ingrown / Q000601:surgery*; D009336:Necrosis; D012008:Recurrence; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000473:pathology; D013536:Suture Techniques; D014034:Toes / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult