대피지
2001년 39권 8호 855 ~ 860
Background：Ingrown
toenail is one of the most common nail complaints. It occurs chiefly on the great
toes, where there is an excessive lateral nail growth into the nail fold, leading
to painful irritation, inflammation, infection, and growth of excessive granulation
tissue. Many treatments have been described, but these classic treatment modalities
may lead to severe damage of the nail fold or to frequent relapses. Objective：We
attempted to evaluate the therapeutic effect of nail splinting which is a noninvasive
therapy for ingrown toenails. Methods：A total of 64 patients(78 lesions) with ingrown
toenails were enrolled in the study. The lateral edge of the nail plate including
the spicule is splinted with a lengthwise-incised flexible plastic tube. The efficacy
of nail splinting for ingrown toenail was assessed by analyzing the degrees of post-treatment
pain and a recurrence rate. Results： 1. The average age of the patients was 37
years old. There were 38 male patients(47 lesions) and 26 female patients(31 lesions).
The right big toe was affected in 27 patients and the left big toe in 23 patients.
Fourteen patients had both feet affected at the same time. 2. The pain all cleared
in an average 2.3 days of treatment. Other problems such as redness, swelling and
granulation tissue gradually decreased as time went by. 3. There was a 7.8% recurrence
rate at six months after the procedure. Conclusion：We recommend nail splint as
an alternative to traditional treatment for ingrown toenail because it is simple
and easy to perform, noninvasive, effective, well tolerated, and does not require
any special equipment. |
