Korkmaz Murat, Cölgeçen Emine, Erdoğan Yalçın, Bal Ahmet, Ozyurt Kemal
Department of Orthopedics Surgery, Bozok University Medical Faculty, Yozgat, Turkey.
Indian J Dermatol. 2013 Jul;58(4):327. doi: 10.4103/0019-5154.113970.
Ingrown toenails (IT) is a very common problem leading to significant associated morbidity. The articles related to phenolization for matrix removal in teenagers with IT are not enough in the foot surgery literature.
To compare the postoperative recovery periods, complication rate, and tolerability of partial matrix excision and segmental phenolization in teenagers with IT.
Thirty-nine patients (13-17 years) with 48 IT were randomly divided into two groups and were treated with partial matrix excision (Group I) and segmental phenolization (Group II). We assessed the recurrence rates, postoperative complications, duration of analgesic usage, and time to return to daily activities.
There was no significant difference between the demographic and clinical data of the two groups. Three patients in Group I and two patients in Group II experienced moderate pain postoperatively. These patients used analgesics for 3 days. The rates of postoperative complications and recurrences between the two groups showed no statistically significant difference (P = 0.688). The time to return to normal daily activities was significantly shorter in Group II patients than in Group I patients (P < 0.05).
Partial matrix excision is a very safe model of therapy in the surgical treatment of teenagers with IT. It has low recurrence rate and minimal postoperative morbidity. We concluded that segmental phenolization is also as safe as partial matrix excision in the treatment of IT and patients return to their daily activities in less time with this treatment modality.
嵌甲是一个非常常见的问题，会导致严重的相关发病率。足部手术文献中关于青少年嵌甲采用酚化法去除甲床的相关文章并不多。
比较青少年嵌甲患者行部分甲床切除术和分段酚化术后的恢复期、并发症发生率及耐受性。
将39例（13 - 17岁）患有48处嵌甲的患者随机分为两组，分别接受部分甲床切除术（第一组）和分段酚化术（第二组）治疗。我们评估了复发率、术后并发症、镇痛药物使用时长以及恢复日常活动的时间。
两组的人口统计学和临床数据无显著差异。第一组有3例患者和第二组有2例患者术后出现中度疼痛。这些患者使用了3天镇痛药。两组术后并发症发生率和复发率无统计学显著差异（P = 0.688）。第二组患者恢复正常日常活动的时间明显短于第一组患者（P < 0.05）。
部分甲床切除术是青少年嵌甲手术治疗中一种非常安全的治疗方式。其复发率低，术后发病率极小。我们得出结论，在嵌甲治疗中，分段酚化术与部分甲床切除术一样安全，采用这种治疗方式患者能更快恢复日常活动。
