title: Reconstruction of the burnt perionychium: literature review and treatment algorithm.
abstract: Nail apparatus deformities associated with burn injuries can cause significant functional and aesthetic concerns. The majority of perionychial deformities result from eponychial retraction and scarring, whereas a minority are due to direct damage to the regenerative part of the nail complex. A variety of different techniques have been described for reconstruction including the use of local flaps, skin/composite grafts, and microvascular transfer. The authors review the different strategies available in the current burns literature and present an algorithm for the management of perionychial burn deformities.
authors.affiliation: Mountbatten Department of Plastic Surgery, Queen Alexandra Hospital, Cosham, Portsmouth, United Kingdom.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Goutos
authors.forename: Cara L E
authors.initials: CL
authors.lastname: Jennings
authors.forename: Ankur
authors.initials: A
authors.lastname: Pandya
mesh_terms: D000465:Algorithms; D002056:Burns / Q000150:complications / Q000601:surgery*; D005383:Finger Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D009262:Nails / Q000293:injuries* / Q000637:transplantation*; D016038:Skin Transplantation; D013524:Surgical Flaps