Division of Pediatric Surgery, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.
J Pediatr. 2013 Feb;162(2):398-402. doi: 10.1016/j.jpeds.2012.07.056. Epub 2012 Sep 10.
To evaluate the effectiveness of the nail-fold excision procedure in children.
Prospectively collected data on patients less than 18 years of age who underwent a nail-fold excision for symptomatic ingrown toenail were analyzed. Patients were seen in 2 centers and data collected included demographics, site of ingrown toenail, complications (including recurrence), patient satisfaction, and duration of follow-up.
Overall, 67 procedures were performed on 50 patients between June 2009 and July 2011 at the 2 institutions. The mean age was 14 years (range, 9-18 years) and 30 were male patients. No recurrences were seen after a follow-up for a median of 14 months (range 6-28 months). Patients were very satisfied with the cosmetic outcomes. Six minor complications occurred, including 3 patients with bleeding requiring dressing change, 2 with excessive granulation tissue, and 1 with nail growth abnormality.
The nail-fold excision technique is highly effective in the pediatric population, with no recurrence, excellent cosmesis, and very high patient satisfaction.
评估甲褶切除术治疗儿童嵌甲的疗效。
前瞻性收集了在 2 家中心接受甲褶切除术治疗症状性嵌甲的年龄小于 18 岁患者的数据。收集了患者的人口统计学资料、嵌甲部位、并发症（包括复发）、患者满意度和随访时间。
2009 年 6 月至 2011 年 7 月，2 家机构共对 50 例患者实施了 67 例手术。平均年龄为 14 岁（范围为 9-18 岁），其中 30 例为男性患者。中位随访 14 个月（范围为 6-28 个月）后未见复发。患者对美容效果非常满意。发生了 6 例轻微并发症，包括 3 例需要更换敷料的出血、2 例肉芽组织过多和 1 例指甲生长异常。
甲褶切除术在儿童中非常有效，无复发，美容效果极佳，患者满意度非常高。
