Correa J, Magliano J, Agorio C, Bazzano C
Unidad de Cirugía Dermatológica de la Cátedra de Dermatología Médico Quirúrgica, Hospital de Clínicas Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay.
Unidad de Cirugía Dermatológica de la Cátedra de Dermatología Médico Quirúrgica, Hospital de Clínicas Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay.
Actas Dermosifiliogr. 2017 Jun;108(5):438-444. doi: 10.1016/j.ad.2017.01.010. Epub 2017 Mar 8.
Ingrown nails are a common problem, seen mostly in young adults. Also known as onychcrypotisis, this condition typically affects the great toenail. Four stages have been defined according to the severity and duration of the condition, and treatment varies from conservative to surgical techniques depending on the stage. We present our experience with this condition, describing the characteristics of our population and surgical treatment, in particular the super U technique.
This was a retrospective, descriptive study of patients with ingrown great toenail treated surgically using the super U technique. We also describe postoperative management.
Ten patients with a mean age of 35.7 years underwent operation, 9 for unilateral ingrown great toenail and 1 for bilateral disease. Stage II ingrown nail was the most common. Half of the patients had been treated previously using other surgical techniques. The mean time to healing was 6 weeks. The only postoperative complication was infection in 1 patient. Mild to moderate postoperative pain persisted for a week. The majority of patients were satisfied with the cosmetic result.
We believe the super U technique is very useful in stage II ingrown nail and in disease that has recurred after previous surgery, and is the treatment of choice in stage III or IV disease in which excessive hypertrophic tissue is found.
嵌甲是一种常见问题，多见于年轻人。这种情况也被称为甲内陷，通常影响大脚趾趾甲。根据病情的严重程度和持续时间已定义了四个阶段，治疗方法因阶段不同而从保守治疗到手术治疗各异。我们介绍我们在这种病症方面的经验，描述我们患者群体的特征以及手术治疗，特别是超级U技术。
这是一项对采用超级U技术进行手术治疗的嵌甲大脚趾患者的回顾性描述性研究。我们还描述了术后管理。
10名平均年龄为35.7岁的患者接受了手术，9例为单侧嵌甲大脚趾，1例为双侧患病。II期嵌甲最为常见。一半的患者此前曾采用其他手术技术进行治疗。平均愈合时间为6周。唯一的术后并发症是1例患者发生感染。术后轻至中度疼痛持续了一周。大多数患者对美容效果满意。
我们认为超级U技术在II期嵌甲以及先前手术后复发的病症中非常有用，并且是发现有过多肥厚组织的III期或IV期病症的首选治疗方法。
