김휘준,
하동주 심우영, 이무형 허충림, 김낙인
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. |
