title: Subungual exostosis treated with an in situ thin split-thickness toenail bed graft.
abstract: Subungual exostosis is a slow-growing, benign outgrowth of normal bone or calcified cartilaginous remains of the distal phalanx. Complete surgical excision of lesions, including the cartilaginous cap, is a unique curative method. An 18-year-old male presented with a protruding papule on the right great toenail. Diagnosis of subungual exostosis had been established and complete excision was performed. In addition, an in situ thin split-thickness toenail bed graft was used to cover the defect. At 6 months after excision, the patient had no complaint of recurrence or pain. We report on a unique trial case of subungual exostosis treated with thin split-thickness nail bed grafts taken from the adjacent normal nail bed of the affected toe.
authors.affiliation: Department of Dermatology, College of Medicine, Kyunghee University, Seoul, Korea.
authors.forename: Chang-Min
authors.initials: CM
authors.lastname: Choi
authors.forename: Hee-Ryung
authors.initials: HR
authors.lastname: Cho
authors.forename: Bark-Lynn
authors.initials: BL
authors.lastname: Lew
authors.forename: Woo-Young
authors.initials: WY
authors.lastname: Sim
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005096:Exostoses / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D009260:Nail Diseases / Q000175:diagnosis / Q000601:surgery*; D009262:Nails; D015831:Osteochondroma / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016378:Tissue Transplantation / Q000379:methods*; D014034:Toes; D016896:Treatment Outcome