Romero-Pérez David, Betlloch-Mas Isabel, Encabo-Durán Belén
Department of Dermatology, University General Hospital of Alicante, Alicante, Spain.
Int J Dermatol. 2017 Feb;56(2):221-224. doi: 10.1111/ijd.13406. Epub 2016 Oct 12.
Onychocryptosis or ingrown toenail is a common condition for which there are several treatment options. Surgical matricectomy (SM) is the classical procedure, whereas chemical matricectomy with phenol (CMP) is the most widely used nowadays.
This study was designed to evaluate the success rate, postoperative comfort, postoperative complications, and patient satisfaction provided by each of these procedures.
A retrospective study of all patients who underwent surgery for ingrown toenail over a 5-year period was performed. Data used for the descriptive study and success rates were obtained from medical records. Postoperative data were collected by telephone interviews.
Ingrown toenail surgery was carried out in 520 patients. SM was associated with a lower recurrence rate (8.2%) than CMP (17.8%), more pain (5.7/10 vs. 3.6/10), a higher risk for infection (15.3% vs. 2.9%), and lower cosmetic satisfaction (7.3/10 vs. 8.0/10). Overall satisfaction was similar in both procedures (8.5/10 and 8.4/10, respectively).
Although SM is associated with a lower recurrence rate, CMP appears to facilitate better postoperative outcomes.
嵌甲症，即甲沟炎，是一种常见病症，有多种治疗选择。手术切除甲床（SM）是经典术式，而苯酚化学切除甲床（CMP）是目前应用最广泛的方法。
本研究旨在评估这两种手术方法的成功率、术后舒适度、术后并发症及患者满意度。
对5年内所有接受嵌甲症手术的患者进行回顾性研究。描述性研究和成功率的数据取自病历。术后数据通过电话访谈收集。
520例患者接受了嵌甲症手术。与CMP（17.8%）相比，SM的复发率更低（8.2%），疼痛更明显（5.7/10 vs. 3.6/10），感染风险更高（15.3% vs. 2.9%），美容满意度更低（7.3/10 vs. 8.0/10）。两种手术的总体满意度相似（分别为8.5/10和8.4/10）。
尽管SM的复发率较低，但CMP似乎能带来更好的术后效果。
