Topic
Narrow nail
About: Narrow nail is a research topic. Over the lifetime, 2 publications have been published within this topic receiving 24 citations.
Papers
TL;DR: Wedge resection of nail matrix has a considerably high recurrence rate and narrowing of the nail plate is a disadvantage of this procedure, so female patients who care about the cosmesis may be dissatisfied with this surgical technique.
Abstract: Objective: The purpose of this retrospective study is to evaluate the cosmetic results of wedge resection of the nail matrix (Winograd technique) in the treatment of ingrown toenail. Materials and methods: This study ret- rospectively reviewed medical charts of 68 patients with 75 ingrown toenails who underwent surgical correction with the Winograd technique between January, 2008, and December, 2009, at the Orthopaedics and Traumatology Department, Antalya Education and Research Hospital. For the final follow-up, patients were contacted by telephone and completed a telephone questionnaire. Recurrence, cosmetic results, and satisfaction of the patients were the major outcome measures. Results: There was recurrence in 9 patients (13.2%). The mean recurrence time was 6.7 months (range = 2-12 months). All recurrences involved the lateral border of the toenail. Cosmetic ratings were statistically lower in female patients (P = .005). The reasons for poor and acceptable cosmetic results were proximal-incision scar and narrow- ing of the nail plate. Conclusion: Wedge resection of nail matrix has a consider- ably high recurrence rate. Furthermore, narrowing of the nail plate is a disad- vantage of this procedure. All patients should be informed about the possibil- ity of recurrence and disfigurement in their toenails (narrow nail plate). Particularly, female patients who care about the cosmesis may be dissatisfied with this surgical technique.
33 citations
6 Jan 2017
TL;DR: The study suggests that DNB is a common phenomenon, which is more likely to appear in advancing age and is associated with onychomycosis.
Abstract: Background: The nail bed may epithelialize and develop dermatoglyphics after long-standing onycholysis. We have called this phenomenon the disappearing nail bed (DNB). DNB may present as a shortened or narrow nail bed. Methods: Examination of all 20 nails was performed in each patient enrolled to the study. DNB was defined as the presence of a nail which is at least 20% shorter and/or narrower than the identical nail on the opposite hand or foot. Age, sex, and nail history were recorded. Fungal studies were done on all patients with DNB if that nail exhibited clinical signs of onychomycosis. Results: Of 540 patients, 71 (13.15%) showed DNB. Sixty patients had only the toenails involved, and 10 patients had only the fingernails involved. One patient had both toenails and fingernails involved. The average age for fingernail DNB was 67.2 years and 69.6 years for toenails DNB. Nail history was remarkable for biting in 8 patients, nail trauma in 11 patients, and surgery in 12 patients. With respect to the toenails, onychomycosis was found in 22 patients of the DNB group. Conclusions: Our study suggests that DNB is a common phenomenon, which is more likely to appear in advancing age and is associated with onychomycosis.
Performance Metrics
| Year | Papers |
|---|---|
| 2017 | 1 |
| 2012 | 1 |