Fernanda Simões Alves, Sadamitsu Nakandakari
Surg Cosmet Dermatol. 2010;2(4):281-284
Abstract
PDF Portuguese
PDF Portuguese
Introduction: The treatment of ingrown nails can be conservative or more invasive,
including surgical methods. Surgical treatment through matricectomy is the most effective
and can be performed mechanically or chemically.Although phenol is the most commonly
used agent, trichloroacetic acid has led to satisfactory results in the partial chemical
matricectomy of ingrown nails.
Objective:To describe the use of trichloroacetic acid as an option to treat ingrown nails.
Methods: 33 patients were analyzed, with 37 ingrown nails subjected to matricectomy
with 50% trichloroacetic acid following the partial exeresis of the nail plate. Acute phenomena
were assessed in the immediate post-operative period. Treatment effectiveness
regarding the recurrence of the ingrown nail in the treated site was assessed 7 to 24
months after the procedure.
Results: The treatment’s success rate was 70.72%. Light post-surgical exudation, the
absence of tissular necrosis and good healing process were observed.
Conclusion: Trichloroacetic acid matricectomy is an effective treatment for ingrown
nails: it causes few side effects, is easy to perform and has good resolution rates.