A partial excision of the nail bed and the treatment of ingrown toenails.docVIP

 PAGE \* MERGEFORMAT 6 A partial excision of the nail bed and the treatment of ingrown toenails [Keywords:] ingrown toenails, surgery, infection A is embedded in the daily life of the nail care and trauma caused by improper hook growth, more common in toes, feet, local and more complicated with infection [1]. Because of poor local drainage, often lead to infection relapse when light weight , work and study to patients has caused great inconvenience to 2009 .2005 268 cases in our department for recurrent infection of the toe in the local treatment of ingrown toenails, based on the use of a partial excision of the nail bed, and treatment, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 Clinical data 268 cases of this group of patients, male 123, female 145 cases, aged from 11 to 62 years, mean 36 years. In which 178 patients with unilateral toe embedded unilateral, bilateral ingrown toenails toes unilateral 58 cases, bilateral toe 32 patients had ingrown toenails. a history of 2 to 18 months, an average of 5.3 months. 1.2 Methods Toe by toe root anesthesia, the first removal of inflammatory granulation tissue proliferation, and on the affected side of the deck between the skin and nails for proper dissection into the shallow edge of methyl transfer, about 3 mm wide, intraoperative tourniquet. In the ipsilateral edge of a ditch at the junction with a longitudinal incision, the length from the methyl transfer to a shallow edge of the free edge, the width of 1.5 ~ 3.0 mm, an average of 2.0 mm. within the scope of this deck, a bed, a total removal of substrate, there can be residual, removal of invasive zone should be revealed after the corresponding part of distal phalanx of toe [2]. careful hemostasis, confirming that no residual mass on a bed, methyl 2.5% povidone-iodine gauze with tamponade bleeding, after conventional anti-inflammatory, symptomatic treatment. dressing is not removed after 24 h of oppression iod