title: Skin bridging secondary to ingrown toenail.
abstract: Ingrown toenails are painful conditions that especially affect young people and may become chronic if not treated. We describe a case of chronically inflamed ingrown toenail left untreated for three years. In the physical examination, skin bridging and epithelialization was observed in midline secondary to soft tissue hypertrophy of the lateral nail matrixes. Epithelized fibrous tissue was cut across the lateral nail matrix and left for secondary healing. Partial matrixectomy was applied and the remnants were cauterized in compliance with the Winograd procedure after removal of the nail. Our case is an advanced condition which is the second report in the literature. Skin bridging secondary to excess soft tissue hypertrophy can be observed in untreated bilateral Heinfert or Frost stage 3 ingrown nails. This rare case can be classified as advanced stage 3 disease or stage 4.
authors: Mehmet Dadaci, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
authors: Mehmet
authors: M
authors: Dadaci
authors: Bilsev Ince, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
authors: Bilsev
authors: B
authors: Ince
authors: Zeynep Altuntas, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
authors: Zeynep
authors: Z
authors: Altuntas
authors: Haldun Onuralp Kamburoglu, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors: Haldun Onuralp
authors: HO
authors: Kamburoglu
authors: Ozan Bitik, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors: Ozan
authors: O
authors: Bitik
keywords: Frost classification; Heifetz classification; Ingrown toenail; Skin bridging