title: "Nailing" the management of the ingrown great toenail.
abstract: "Nailing" the management of the severely ingrown great toenail, commonly encountered in the adolescent population, is an important tool in the pediatrician's armamentarium. I have found great toenail removal to be worthwhile, with straightforward indications; and quite rewarding for my patients in terms of time, convenience, and costs. The key to the procedure is to keep it simple. Four basic vital steps are involved: (1) operative permit and explanation; (2) performing a careful complete digital nerve block; (3) removing the entire toenail; and, importantly, (4) performing a partial chemical matricectomy--with readily available silver nitrate sticks--to prevent frequent recurrences.
authors.forename: Stan L
authors.initials: SL
authors.lastname: Block
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D009263:Nails, Ingrown / Q000601:surgery*; D011182:Postoperative Care; D013514:Surgical Procedures, Operative; D014034:Toes