Semih TATLICAN, Burcu YAMANGÖKTÜRK, Cemile EREN, Fatma ESKİOĞLU, Sinan ADIYAMAN

Germinal matriks koterizasyonunda farklı fenol uygulama sürelerinin etkinlik ve güvenlik açısından karşılaştırılması

Amaç: Tırnak batması tedavisinde en sık kullanılan yöntemlerden biri kısmi tırnak çekimi ile birlikte uygulanan fenol matriksektomidir. Bu çalışmada farklı fenol uygulama sürelerinin etkinlik ve güvenliği karşılaştırıldı. Çalışma planı: Çalışmada evre 2-3 tırnak batması bulunan 110 hastanın (54 erkek, 56 kadın) 148 tırnağı ince- lendi. Hastalar, batan tırnakların cerrahi eksizyonundan sonra, germinal matriksin 1, 2 ve 3 dakikalık fenol koterizasyonu için rastgele seçimle üç gruba ayrıldı. Hastalar cerrahi sonrası 2, 10, 16, 24 ve 30. günlerde ağrı, drenaj ve doku hasarı açısından değerlendirildi ve 24 ay süreyle nüks açısından izlendi. Sonuçlar: Ağrı, drenaj ve doku hasarının zaman içinde iyileşmesi her üç grupta da anlamlı bulundu (p

Anahtar Kelimeler:

Yara iyileşmesi, Tırnaklar, batmış, Tekrarlama, Tedavi sonucu, Fenol

Comparison of phenol applications of different durations for the cauterization of the germinal matrix: an efﬁcacy and safety study

Objectives: Partial nail avulsion with phenol matricectomy is one of the most widely performed procedures for the treat ment of ingrowing nails. We compared phenol applications of different durations with respect to efﬁcacy and safety. Methods: The study included 148 ingrowing nails (grade 2-3) of 110 patients (54 males, 56 females). The patients were randomized to three groups for 1-, 2-, and 3-minute applications of phenol cauterization of the germinal matrix following surgical removal of ingrowing nails. Postoperative evaluations were made on days 2, 10, 16, 24, and 30 for pain, drainage, and tissue damage. Recurrences were recorded during a follow-up of 24 months. Results: Improvements in pain, drainage, and tissue damage in each group were signiﬁcant (p<0.001). Time to complete healing and durations of drainage and tissue damage were signiﬁcantly shorter in patients receiving 1-minute pheno application (p<0.001), and the remaining groups did not dif fer in this respect. The mean duration of pain was similar in three groups. While the frequencies of pain and tissue damage were similar in three phenol groups, the number of patients having drainage on day 16 was signiﬁcantly lower with 1-minute phenol application (p<0.001). All recurrences appeared in the sixth month and there was no signiﬁcan difference between the three groups with respect to the recurrence rate. Conclusion: Our ﬁndings suggest that 1-minute pheno cauterization of the germinal matrix has a better safety proﬁle than prolonged applications in the treatment of ingrown nails.

Keywords:

Wound Healing, Nails, Ingrown, Recurrence, Treatment Outcome, Phenol,

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