An Ingrown Toenail is extremely painful and can be treated conservatively poorly effective. The so-called Phenolisation helps.
Thick “proud flesh”, the football boots can not wear anymore. The teenager with the ingrown toenail want to get rid of ugly, painful inflammation quickly. What do you advise?
I. Grandmother Tips on ingrown toenails are of limited effectiveness:
Especially male adolescents and young adults hit with the problem “unguis incarnatus” around. Grandma’s Tip of warm soapy water baths they usually have already tried. But help footbaths and the deposit of antiseptic-soaked cotton balls or dental floss, if at all, only in the early stages, Professor Henning Hamm, declared the 5th Dermatology update. This is useful.
The painful, oozing inflammation in the patients’ daily life severely hamper. Therefore, in most cases, then soon the “redemptive” operation planned. Here the surgeon extracted the lateral nail plate and then destroyed the lateral nail matrix chemokaustisch mostly by phenol (Phenolisation). This method will produce as Italian authors darlegten on a group of 139 patients with 197 ingrown toenails, good success rates of more than 98% after three years.
II. Phenolisation after partial nail removal better than purely operational matrix removal
A Cochrane analysis in 2005 concludes that the partial nail removal with phenol achieved significantly lower relapse rates than the purely operational matrix removal – probably because the remaining nail Chemokaustik possibly destroyed remnants effectively.
Critics are also disadvantages of Phenolisation : The wound secreted postoperatively longer, they take several weeks to complete healing, the infection rate should be higher. On the other hand, the anesthetic effect of the phenol in the early postoperative period, a definite advantage. Moreover, says Prof. Hamm, the Phenolisation is simple, inexpensive and outpatient basis.
III. Trichloroacetic acid as a non-toxic substitute instead of phenol
In search of a more suitable substance went to Korean colleagues and tried in a small cohort of 25 patients, 100% trichloroacetic acid from. Thus, they achieved a success rate of 95%. The search for newer less toxic substances to chemo caustic matrix ectomy when Unguis Incarnatus the Expert will be welcomed.
After all, could the toxic phenol , when absorbed systemically cause severe reactions – if that was also used locally to describe the toe never said Professor Hamm. Previously for phenol lay before the largest by far of experience. Thus this is all about a useful treatment for (Phenol Treatment) ingrown toenail, and one can go through all the important/useful points discussed above for ingrown toenail removal.