Özet:

Aim: The narrowing of the nail plate or debulking of soft tissues is the mainstay of the different surgical techniques used to treat ingrown toenails. However, neither of these methods is sufficient alone to treat all types of ingrown toenail. The aim of this study was to present a new surgical wedge resection procedure for an ingrown toenail that includes a definitive narrowing of the nail plate, debulking of the lateral fold and attachment of the remaining lateral fold to the nail plate using a novel suturing technique. Material and Methods: Fifty two patients with grade 2-3 ingrown toenails were operated on. Twelve of these cases involved bilateral toes and 11 toes had bilateral lesions; 75 lesions on 64 toes were therefore surgically treated. Recurrence and cosmetic satisfaction were the main outcomes to be assessed. Results: No recurrence was detected in any subject and all patients were satisfied with the cosmetic results. Conclusion: Our new surgical procedure is a very effective alternative treatment for an ingrown toenail which produces excellent cosmetic results.

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