معالجة الظفر الناشب باستئصال مطرق الظفر الجزئي بحمض الخل ثلاثي الكلور 85%

الملخص EN

Background: Ingrown toenail is considered a common problem, and can be treated with conservative therapy or surgery, but frequent relapse can be a problem in conservative therapy, and surgery therapy without Matricectomy.

Thus, permanent nail ablation by partial Matricectomy is now accepted as the treatment of choice, and can be performed by surgical ablation, or chemical ablation.

Objectives: This study aims to evaluated the efficacy, and safety of Trichloroacetic acid ( TCA ) in the treatment of ingrown nail.

Methods: We conducted a prospective, controlled study, that included 70 in growing toenail edges in 65 patients referred to the Dermatology Venereology Hospital at Damascus University, between February 2010 and February 2012, with following up the patients for 12 – 18 months.

Matricectomy with 85% TCA after partial nail ablation was performed.

Postoperative complications such as pain, discharge, and infection, cure period, recurrence rate, and cosmetic outcomes were assessed.

Results: The wounds healed after a mean period of 14 days, without prolonged exudative discharge.

Pain was short, mild, and transit.

Recurrence was found in 4 nails in 3 patients, and the success rate was 94%, with good cosmetic results.

Conclusions: TCA matricectomy yielded a low recurrence rate with minimal side effects, and was easy to perform.

therefore, it may be a good alternative treatment of in growing nails.