Escuela Universitaria de Enfermería, Fisioterapia y Podología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
J Eur Acad Dermatol Venereol. 2010 Aug;24(8):936-42. doi: 10.1111/j.1468-3083.2010.03569.x. Epub 2010 Feb 17.
Nail disorders are frequent among the geriatric population and unfortunately, repeat avulsion procedures often result in complications.
To utilize a phenol-based total matricectomy technique for permanent nail ablation and evaluate its effectiveness.
We performed total nail ablation on 34 toenails of the hallux (30 patients) with a gauze-phenol application technique and evaluated the degree of pain reported by the patient 12 months postoperatively compared with the preoperative stage. Furthermore, we evaluated the patients' satisfaction with the final cosmetic appearance as well as their satisfaction with the overall procedure.
All patients reported 'too much' or 'severe' pain prior to surgery and 94.11% reported 'no pain' 12 months post-surgery. A vast majority of the patients (82.35%) felt pleased with the cosmetic results and all patients reported that they were 'very satisfied' or 'strongly satisfied' with the procedure when interviewed at their 12 month follow-up examination.
There were a limited number of participants in this study across an extensive timeframe.
Phenol-based total nail ablation with specific gauze application is safe, inexpensive and has a high rate of patient satisfaction.
nail disorders（甲病）在老年人群中很常见，不幸的是，多次拔甲常常会导致并发症。
采用基于苯酚的全甲切除术治疗永久性甲消融，并评估其疗效。
我们采用纱布-苯酚应用技术对 30 例 34 个踇趾甲（hallux）进行全甲消融，并在术后 12 个月评估患者报告的疼痛程度与术前阶段相比。此外，我们评估了患者对最终美容外观的满意度以及对整个手术过程的满意度。
所有患者术前均报告“非常”或“严重”疼痛，术后 12 个月 94.11%报告“无疼痛”。绝大多数患者（82.35%）对美容效果感到满意，所有患者在术后 12 个月随访检查时均报告对手术过程“非常满意”或“强烈满意”。
本研究在很长一段时间内，参与者人数有限。
采用基于苯酚的全甲切除术治疗永久性甲消融术，具有安全、经济、患者满意度高的特点。
