The management of ingrown toenails with soft tissue/periungual resection without nail resection or matricectomy: A scoping review.
DOI:
https://doi.org/10.55067/jifaf.v1i11.36Keywords:
ingrown toenail, onychocryptosis, nail surgery, periungual, soft tissueAbstract
Background: Most authors cite that an ingrown toenail is caused by an ingress of the nail plate into the periungual soft tissues, though a minority of authors believe that soft tissue pathology is primarily responsible. Consequently, when nail surgery is indicated, there is a dichotomy in the treatment approach aimed at either nail/nail matrix resection or soft tissue debridement.
Aim: The aim of this research is to collate, code and chart data regarding ingrown toenails managed with soft tissue procedures - without nail or nail matrix resection.
Methods: A scoping review of the literature on soft tissue resection techniques for the management of ingrown toenails without nail or nail matrix resection was carried out using current scoping review practice and PRISMA-ScR guidelines.
Results: 25 articles were included in the review. Most of these papers were case studies or case series. Multiple surgical techniques were found but with no clear best technique identified due to low-quality research using heterogeneous methodologies.
Conclusions: The evidence for the soft tissue management of ingrown nails is lacking in quality but warrants further consideration. High quality, perspective studies need to be performed to be eligible for future Cochrane reviews.
References
DeLauro NM, DeLauro TM. Onychocryptosis. Clin Podiatr Med Surg 2004;21:617–30. https://doi.org/10.1016/j.cpm.2004.05.009.
Eekhof JAH, van Wijk B, Neven AK, van der Wouden JC. Interventions for ingrowing toenails. Cochrane Database of Systematic Reviews 2012;4. https://doi.org/http://10.1002/14651858.CD001541.pub3.
Haneke E. Nail surgery. Clin Dermatol 2013;31:516–25. https://doi.org/10.1016/j.clindermatol.2013.06.012.
Yang K-C, Li Y-T. Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. Dermatol Surg 2002;28:419–21.
Vandenbos KQ, Bowers WF. Ingrown toenail: a result of weight bearing on soft tissue. US Armed Forces Med J 1959;10:1168–73.
Kang MH, Seo YJ, Park EJ, Kim CW, Jo HJ, Kim KH, et al. The effect of removal of granulation tissue on ingrown toenails associated with granulation tissue. Korean Journal of Dermatology 2008;46:453–8.
Haneke E. Controversies in the treatment of ingrown nails. Dermatol Res Pract 2012:1–12. https://doi.org/10.1155/2012/783924.
de Brule MB. Operative treatment of ingrown toenail by nail fold resection without matricectomy. J Am Podiatr Med Assoc 2015;105:295–301.
Davis K, Drey N, Gould D. What are scoping studies? A review of the nursing literature. Int J Nurs Stud 2009;46:1386–400. https://doi.org/10.1016/j.ijnurstu.2009.02.010.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice 2005;8:19–32. https://doi.org/10.1080/1364557032000119616.
Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc 2015;13:141–6.
Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 2020;18:2119–26. https://doi.org/10.11124/JBIES-20-00167.
Anton AL. The evidence base for the use of soft tissue procedures without nail resection or matricectomy in the management of ingrown toenail pathology. A scoping review protocol 2021. https://osf.io/su4nf/ (accessed December 11, 2021).
Pollock D, Davies EL, Peters MDJ, Tricco AC, Alexander L, McInerney P, et al. Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics. J Adv Nurs 2021;77:2102–13. https://doi.org/10.1111/jan.14743.
Anton AL. The evidence base for the use of soft tissue procedures without nail resection or matricectomy in the management of ingrown toenail pathology. A scoping review 2021. https://osf.io/2v4d3/ (accessed December 11, 2021).
Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implementation Science 2010;5:1–9.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med 2018;169:467–73. https://doi.org/10.7326/M18-0850.
Alptekin H, Yilmaz H, Sahin M, Token M. Simple new operative technique to treat ingrown toenails without recurrence. European Journal of Dermatology 2011;21:280–1. https://doi.org/10.1684/ejd.2010.1248.
Antrum RM. Radical excision of the nailfold for ingrowing. J Bone Joint Surg 1984;66-Br:63–5.
Bose B. A technique for excision of nail fold for ingrowing toenail. Surg Gynecol Obstet 1971;132:511–2.
Brereton RJ. Simple old surgery for juvenile embedded toenails. Zeitschrift Für Kinderchirurgie 1980;30:258–64.
Browne J. W. Treatment of in-growing toe-nail. Br Med J 1884;2:857.
Chapeskie A. Practice tip. Simple cure for the ingrown toenail. Aust Fam Physician 1998;27:299.
Chapeskie H. Ingrown toenail or overgrown toe skin? Canadian Family Physician 2008;54:1561–2.
Chapeskie H, Kovac JR. Soft-tissue nail-fold excision: a definitive treatment for ingrown toenails. Canadian Journal of Surgery 2010;53:282–6.
Cordova EO, Cordova KO, Studart AC, Leverone A, Regazzi P, Quintella D. Exuberant ingrown nail: Satisfactory esthetics results combining surgery techniques. Journal of Dermatology and Dermatologic Surgery 2018;22:87. https://doi.org/10.4103/jdds.jdds_15_18.
Correa J, Magliano J, Agorio C, Bazzano C. Super U technique for ingrown nails. Actas Dermosifiliogr 2017;108:438–44. https://doi.org/10.1016/j.ad.2017.01.010.
Cotting BE. In-fleshed toe-nail. A new operation for radical relief. Boston Med Surg J 1872;88:5–8.
Cotting BE. Infleshed toe-nail. Its radical relief. David Clapp & Son, Boston: 1893.
di Chiacchio N, di Chiacchio NG. Best way to treat an ingrown toenail. Dermatol Clin 2015;33:277–82. https://doi.org/10.1016/j.det.2014.12.009.
Gualdi G, Monari P, Crotti S, Calzavara-Pinton PG. Surgical treatment of ingrown toe nail: the Monaldi technique, a new simple proposal. Dermatologic Surgery 2014;40:208–10.
Haricharan RN, Masquijo J, Bettolli M. Nail-fold excision for the treatment of ingrown toenail in children. Journal of Pediatrics 2013;162:398–402. https://doi.org/10.1016/j.jpeds.2012.07.056.
Kufdakis AD. Ingrown toenail surgery: a new procedure. Int Surg 1981;66:339.
Livingston MH, Coriolano K, Jones SA. Nonrandomized assessment of ingrown toenails treated with excision of skinfold rather than toenail (NAILTEST): An observational study of the Vandenbos procedure. J Pediatr Surg 2017;52:832–6. https://doi.org/10.1016/j.jpedsurg.2017.01.029.
Mohammad A, Radwan ME, Arafat M, Maksoud A-M. Surgical treatment of ingrown toenail by nail fold resection without matricectomy. Egypt J Hosp Med 2018;73:7951–62.
Mousavi SR, Khoshnevice J. A new surgical technique for ingrown toenail. ISRN Surg 2012;2012:1–4. https://doi.org/10.5402/2012/438915.
Ney GC. An operation for ingrowing toe nails. J Am Med Assoc 1923;80:374–5.
Noël B. Surgical treatment of ingrown toenail without matricectomy. Dermatologic Surgery 2008;34:79–83. https://doi.org/10.1111/j.1524-4725.2007.34012.x.
Rosa IP, di Chiacchio N, di Chiacchio NG, Caetano L. Super U. A technique for the treatment of ingrown Nail. Dermatologic Surgery 2015;41:652–3.
Tweedie JH, Ranger I. A simple procedure with nail preservation for ingrowing toe-nails. Arch Emerg Med 1985;2:149–54.
Pearson HJ, Bury RN, Wapples J, Watkin DF. Ingrowing toenails: is there a nail abnormality? A prospective study. The Journal of Bone and Joint Surgery Br 1987;69:840–2.
Murray WR. Onychocryptosis. Principle of non-operative and operative care. Clin Orthop Relat Res 1979;142:96–102.
Brearley R. Treatment of ingrowing toenails. The Lancet 1958;272:122–5.
Dubois JP. Treatment of ingrown nails. Nouv Presse Med 1974;3:1938–40.
Richert B. Surgery of the lateral nail folds. In: Richert B, di Chiacchio N, Haneke E, editors. Nail Surgery, 2011.
Richert B. Surgical management of ingrown toenails - an update overdue. Dermatol Ther 2012;25:498–509.
Reilly I, Burt N. Periungual soft tissue resection. The Podiatrist 2021;24:44–8.
Reilly IN. Continuing Professional Development. Nail Surgery. Podiatry Now 2019;22:Supp-undefined.
Reilly I. The Fowler total nail avulsion procedure: a case study. J British Dermatological Nursing Group 2020;19:33–5.
osa IP, Garcia MDLP, Mosca FZ. Tratamento cirúrgico da hipercurvatura do leito ungueal. An Bras Dermatol 1989:115–7.
Kassirov DA. A new method of operative treatment of bilateral ingrown nail. Vestnik Khirurgii Imeni II Grekova 2008;167:98.
DuVries HL. Hypertrophy of the unguilabia. Chirop Rec 1933;16:11–2.
Dockery G. Nail and periungual reconstruction. In: Dockery G, Crawford ME, editors. Lower Extremity Soft Tissue & Cutaneous Plastic Surgery. 2nd ed., Elsevier; 2012, p. 289–305.
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