Tampon tamponade combined with wedge resection of the nail folds for the treatment of ingrown toenail-induced paronychia: a clinical observation
- VernacularTitle:棉条填塞联合甲襞楔形切除治疗嵌甲型甲沟炎疗效观察
- Author:
Fei LIU
1
;
Ning ZHANG
;
Jianming YANG
;
Wujun DU
;
Cun HUANG
;
Linrui MA
;
Zhixue KANG
Author Information
- Keywords: Paronychia; Nails, ingrown; Surgical procedures, operative; Treatment outcomes; Tampon tamponade; Wedge resection
- From: Chinese Journal of Dermatology 2021;54(10):898-900
- CountryChina
- Language:Chinese
- Abstract: Objective:To evaluate clinical effect of tampon tamponade combined with wedge resection of the nail folds in the treatment of ingrown toenail-induced paronychia.Methods:A total of 96 patients with ingrown toenail-induced paronychia were collected from Department of Emergency Medicine, General Hospital of Ningxia Medical University between August 2017 and April 2019, and randomly and equally divided into 2 groups by using a random number table: control group treated surgically with the Winograd method, and treatment group treated with tampon tamponade combined with wedge resection of the nail folds. All the patients were followed up for 6 - 23 months after surgery.Results:Six months after operation, 47 (97.92%) and 41 (85.42%) cases were cured in the treatment group and control group respectively, and the cure rate significantly differed between the 2 groups ( χ2 = 4.909, P < 0.05) . The visual analogue scale scores for pain were significantly lower in the treatment group than in the control group on day 3 and 1 month after operation (both P < 0.05) . The postoperative recurrence rate and infection rate were 0 and 2.08% in the treatment group respectively, which were significantly lower than those in the control group (6.25%, 12.5%, respectively, both P < 0.05) . Conclusion:Tampon tamponade combined with wedge resection of the nail folds is effective for the treatment of ingrown toenail-induced paronychia with a simple operative procedure and a low postoperative recurrence rate, and is worthy of clinical promotion.
