Terzi Erdinc, Guvenc Ulas, Türsen Belma, Kaya Tamer İrfan, Erdem Teoman, Türsen Ümit
Department of Dermatology, Yenikent State Hospital, Turkey.
Department of Dermatology, Sanliurfa State Hospital, Sanliurfa, Turkey.
Indian Dermatol Online J. 2015 Jan-Feb;6(1):4-8. doi: 10.4103/2229-5178.148912.
Ingrown toenail is an often painful clinical condition that usually affects the big toe. Chemical matricectomy with phenol has a low recurrence rate and good cosmetic results. However, it produces extensive tissue destruction that can result in drainage and delayed healing. Alternatives such as sodium hydroxide and trichloroacetic acid (TCA) have therefore come into vogue. A total of 39 patients with 56 ingrown toenail edges underwent chemical matricectomy with 90% TCA after partial nail avulsion. In most of the patients, adverse effects such as postoperative pain and drainage were minimal. One patient who underwent matricectomy had recurrence in a single nail edge (1.8%) at 12 months follow-up. No recurrence was observed among 38 patients during the mean follow-up period. This was considered to be statistically significant (P < 0.001). Partial nail avulsion followed by TCA matricectomy is a safe, simple, and effective method with low rates of postoperative morbidity and high rates of success.
嵌甲是一种常伴有疼痛的临床病症，通常累及大脚趾。苯酚化学甲床切除术复发率低且美容效果良好。然而，它会造成广泛的组织破坏，导致引流和愈合延迟。因此，诸如氢氧化钠和三氯乙酸（TCA）等替代方法开始流行起来。共有39例患有56个嵌甲边缘的患者在部分指甲拔除后接受了90% TCA化学甲床切除术。在大多数患者中，术后疼痛和引流等不良反应极小。1例接受甲床切除术的患者在12个月随访时单个指甲边缘复发（1.8%）。在平均随访期内，38例患者未观察到复发。这被认为具有统计学意义（P < 0.001）。部分指甲拔除后行TCA甲床切除术是一种安全、简单且有效的方法，术后发病率低且成功率高。
