Dadaci Mehmet, Ince Bilsev, Altuntas Zeynep, Kamburoglu Haldun Onuralp, Bitik Ozan
Mehmet Dadaci, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Bilsev Ince, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Pak J Med Sci. 2014 Nov-Dec;30(6):1425-7. doi: 10.12669/pjms.306.5790.
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.
嵌甲是一种疼痛性病症，尤其好发于年轻人，若不治疗可能会发展为慢性疾病。我们描述了一例慢性炎症性嵌甲未治疗长达三年的病例。体格检查时，发现由于外侧甲床软组织肥大，在中线处出现了皮肤桥接和上皮化。将上皮化的纤维组织横切过外侧甲床，任其二期愈合。采用部分甲床切除术，按照维诺格拉德手术方法，在拔除指甲后对残余部分进行烧灼处理。我们的病例属于晚期病症，是文献中的第二篇报道。在未经治疗的双侧海因费特或弗罗斯特3期嵌甲中，可以观察到因软组织过度肥大继发的皮肤桥接。这种罕见病例可归类为晚期3期疾病或4期疾病。
