Phenol chemical matricectomy is less painful, with shorter recovery times but higher recurrence rates, than surgical matricectomy: a patient's view

BACKGROUND - Ingrown toenails have a tendency for recurrence. Operative interventions can be successful, and several procedures are in use. - OBJECTIVE - Retrospective evaluation, to reveal differences in postoperative pain, time to recovery, and satisfaction with the cosmetic outcome in patients...

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Main Authors: Hassel, Jessica C. (Author) , Hassel, Alexander J. (Author) , Löser, Christoph (Author)
Format: Article (Journal)
Language:English
Published: [August 2010]
In: Dermatologic surgery
Year: 2010, Volume: 36, Issue: 8, Pages: 1294-1299
ISSN:1524-4725
DOI:10.1111/j.1524-4725.2010.01625.x
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/j.1524-4725.2010.01625.x
Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/dermatologicsurgery/Abstract/2010/08000/Phenol_Chemical_Matricectomy_Is_Less_Painful,_with.12.aspx
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Author Notes:Jessica C. Hassel, Alexander J. Hassel, Christoph Löser
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Summary:BACKGROUND - Ingrown toenails have a tendency for recurrence. Operative interventions can be successful, and several procedures are in use. - OBJECTIVE - Retrospective evaluation, to reveal differences in postoperative pain, time to recovery, and satisfaction with the cosmetic outcome in patients treated with a phenol (PCM) or surgical matricectomy (SM). - MATERIALS & METHODS - All matricectomy patients at the Dermatology Department of the Ludwigshafen City Hospital between 2004 and 2008 were interviewed over the telephone. Of 72 evaluable patients with a total of 112 ingrown nail sides, 33 were treated with PCM and 39 with SM. The patient group consisted of 40.3% women, the median age was 31. - RESULTS - Patients after PCM indicated two points less postoperative pain on an analogue scale from 0 to 10 (p<.001). In the PCM group, more patients recovered from the operation in less than 1 week (p=.007). Patient evaluation of cosmetic outcome was not different between the groups (p=.76), but recurrence rates were significantly higher in the PCM group (31.5%, vs 6.9% in the SM group, p=.006) - CONCLUSION - Both matricectomies have advantages and disadvantages. We should discuss these issues with our patients to help them decide on the kind of matricectomy. - The authors have indicated no significant interest with commercial supporters.
Item Description:Gesehen am 27.03.2023
Physical Description:Online Resource
ISSN:1524-4725
DOI:10.1111/j.1524-4725.2010.01625.x