Nail avulsion and chemical matricectomy
- Barbara M Mathes, MD, FACP, FAAD
Barbara M Mathes, MD, FACP, FAAD
- Clinical Associate, Dermatology
- University of Pennsylvania
- Secretary Treasurer
- American Academy of Dermatology
- Section Editors
- Russell S Berman, MD
Russell S Berman, MD
- Section Editor — Skin and Soft Tissue Surgery
- Chief of Surgical Oncology
- New York University Langone Medical Center
- Robert P Dellavalle, MD, PhD, MSPH
Robert P Dellavalle, MD, PhD, MSPH
- Section Editor — General Dermatology
- Professor of Dermatology and Public Health
- University of Colorado School of Medicine
- Colorado School of Public Health
- Chief, Dermatology Service
- US Department of Veterans Affairs
- Eastern Colorado Health Care System
Nail disorders, particularly ingrown, incurved, pincer, hypertrophic, infected, and painful nails, are common conditions in adults (picture 1A-C) . Although abnormalities of nails can be disfiguring, it is usually pain that brings the patient to the clinician. Most asymptomatic nail disorders affect the toenails, but the fingernails can be affected as well. A variety of relatively simple approaches to nail problems can prevent or alleviate symptoms, and others may correct or cure the underlying problem.
Nail anatomy and common office procedures performed on the nails are described here. The principles of nail biopsy and surgery are discussed separately. Nail disorders and routine treatment of ingrown toenails are also reviewed separately.
●(See "Overview of nail disorders".)
Subscribers log in hereLiterature review current through: Jul 2017. | This topic last updated: Jan 22, 2016.References
- Mathes BM, Alguire PC. Nail Surgery. In: Dermatologic Procedures in Atlas of Office Procedures, Alguire PC, Mathes BM (Eds), WB Saunders, Philadelphia 1999. Vol 2, p.97.
- Clark RE, Trope WD. Nail surgery. In: Cutaneous Surgery, 1st ed, Wheeland RG (Ed), WB Saunders, Philadelphia 1994. p.375.
- Krull EA. Surgery of the nail. In: Dermatology, Moschella S, Hurley HH (Eds), WB Saunders, Philadelphia 1992. p.2403.
- Salashe SJ. Nail unit surgery. In: Atlas of Cutaneous Surgery, Robinson JK, Arndt KA, LeBoit PE, et al (Eds), WB Saunders, Philadelphia 1996. p.189.
- Bostanci S, Ekmekçi P, Gürgey E. Chemical matricectomy with phenol for the treatment of ingrowing toenail: a review of the literature and follow-up of 172 treated patients. Acta Derm Venereol 2001; 81:181.
- Andreassi A, Grimaldi L, D'Aniello C, et al. Segmental phenolization for the treatment of ingrowing toenails: a review of 6 years experience. J Dermatolog Treat 2004; 15:179.
- Bostanci S, Kocyigit P, Gürgey E. Comparison of phenol and sodium hydroxide chemical matricectomies for the treatment of ingrowing toenails. Dermatol Surg 2007; 33:680.
- Siegle RJ, Harkness J, Swanson NA. Phenol alcohol technique for permanent matricectomy. Arch Dermatol 1984; 120:348.