Metin Temel, Ebru Çelik, Raif Özden, Asena Çiğdem Doğramacı, Yunus Doğramacı, Vedat Uruç

Tırnak Batmalarının Tedavisinde Kama Şeklinde Çıkarımla Birlikte Yeni Bir Sütür Tekniğinin Sonuçları

Amaç: Tırnak batmalarında tırnak yatağının daraltılması ve yumuşak dokudaki şişliklerin giderilmesi birçok cerrahi müdahalenin ortak noktasıdır. Ancak bu cerrahi tekniklerin hiçbiri tek başına cerrahi tedavide yeterli olmamaktadır. Bu çalışmada amaç kama şeklinde etraf yumuşak dokuda eksizyon yapılarak tırnak yatağının daraltılması ve kalan yumuşak dokuların ise yeni geliştirilen bir sütür tekniği ile yeniden tırnak yatağı oluşturulmasını sağlamaktır. Gereç ve Yöntem: Çalışmamıza sınıf 2-3 tırnak batması olan 52 hasta dahil edildi. Bu olguların 12’sinde her iki ayakta ve 11’inde ise aynı ayakta tırnağın her iki tarafındatırnak batması mevcuttu. Toplam 64 ayaktaki 75 lezyon cerrahi olarak tedavi edildi. Nüks ve kozmetik memnuniyet açısında sonuçlar değerlendirildi. Bulgular: Hiçbir hastada nüks görülmedi ve tüm hastalar kozmetik sonuçlardan memnundu Sonuç: Yeni geliştirilen bu cerrahi tekniğin tırnak batması tedavisinde çok etkili, mükemmel kozmetik sonuçlar doğuran alternatif bir yöntem olduğunu düşünmekteyiz.

Anahtar Kelimeler:

Tırnak batması, cerrahi işlemler

CONSEQUENCES OF WEDGE RESECTION PROCEDURE WITH A NEW SUTURE TECHNIQUE IN THE TREATMENT OF INGROWN TOENAILS

Aim: The narrowing of the nail plate or debulking of soft tissues is the mainstay of the different surgical techniques used to treat ingrown toenails. However, neither of these methods is sufficient alone to treat all types of ingrown toenail. The aim of this study was to present a new surgical wedge resection procedure for an ingrown toenail that includes a definitive narrowing of the nail plate, debulking of the lateral fold and attachment of the remaining lateral fold to the nail plate using a novel suturing technique.Material and Methods: Fifty two patients with grade 2-3 ingrown toenails were operated on. Twelve of these cases involved bilateral toes and 11 toes had bilateral lesions; 75 lesions on 64 toes were therefore surgically treated. Recurrence and cosmetic satisfaction were the main outcomes to be assessed. Results: No recurrence was detected in any subject and all patients were satisfied with the cosmetic results. Conclusion: Our new surgical procedure is a very effective alternative treatment for an ingrown toenail which produces excellent cosmetic results.

Keywords:

Ingrown toenail, surgical procedures,

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