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Colegio de Medicos y Cirujanos República de Costa Rica
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2009, Number 587

Rev Med Cos Cen 2009; 66 (587)

Manejo de las uñas encarnadas en el 1er nivel de atención

Castro ALM
Full text How to cite this article

Language: Spanish
References: 17
Page: 43-47
PDF size: 288.50 Kb.


Key words:

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ABSTRACT

Justification and Objec-tives: this work has been done in order to compare the outcomes obtains by a physician of Minor Surgery Service of Desamparados 2, in the treatment of ingrown toenails with partial avulsion with matricectomy by curettage of matrix, respect to result obtained in other health centers with different techniques. Also an analysis of pain perception has been done, and the number of patient’s recovering days after the procedure was compares with the average of other centers of minor surgery. Methodology: information for this investigation was obtained with the use of a questionnaire, patients with more than 3 month after the procedure was performed were selected. Outcomes and conclusions: the technique used is better than avulsion without matricectomy (36% compared with recurrences between 42 to 83% depends of the literature), but other techniques not performed due the equipment cost, are better.


REFERENCES

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  2. A Surgical Approach to Ingrown Nail: Partial Matricectomy using CO2 Laser, Yang-Chih Lin, MD and hsin-Yi Su, MD, Dermatology Surgery 2002;28: 578-580

  3. Chemical Matricectomy with 10% Sodium Hydroxide for the Treatment of Ingrowing Toenails, Ozdemir E, MD, Bostanci S, MD, Ekmekci P, MD and Gurgey E, MD, Dermatologic Surgery 2004; 30: 26-31

  4. Cirugía Menor, Hontanilla B., editorial Marban, 1999

  5. Formable Acrylic Treatment for Ingrowing Nail with Gutter Splint and Sculptured nail, Hiroko Arai, MD, Takeo Arai, MD, Hiroshi Nakayama, MD and Eckart Haneke, MD, International Journal of Dermatology 2004; 43: 759-65

  6. Ingrown Toenail Removal, Information From Your Family Doctor, American Family Physician, vol 65, No: 12; June 15, 2002

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  8. Managing Infected Ingrown Toenails, Longitudinal Band Method, Recai Ogur, MD, Omer Faruk, MD, Metin Hasde, MD, Canadian Family Physician, February 2005.

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  11. Nail-Splinting Technique for Ingrown Nails: The Therapeutic Effects and Proper Removal Time of the Splint Young-jo Kim, MD, Jung-Hun Ko, MD, Kyu-Chul Choi, MD, Chul-Gab Lee, MD, and kyung-joon Lim, MD, Dermatologic Surgery 2003;29:745–748

  12. Procedures for Primary Care 2nd edition, Pfenninger J. MD, Fowles G. MD, editorial Mosby, 2004.

  13. Recurrent Ingrown Big Toenails Are Efficiently Treated by CO2 Laser, Serour F, MD. Dermatologic Surgery 2002;28: 509-512

  14. Surgical Pearl: nail Edge Separation with Dental Floss for Ingrown Toenail, Sang-hyuk Woo, MD and Il-Hwan Kim, MD, Journal American Academy of Dermatology 2004; 50: 939-40

  15. Toenail Splinting, Pottie K, MD, Dempsey M, MD, Czarnowski C, MD, Canadian Family Physician, November 2003.

  16. Treatment of Recurrent Ingrown Great Toenail Associated with Granulation Tissue By Partial nail Avulsion Followed by Matricectomy with Sharp pulse Carbon Dioxide Laser, Kuo-chia Ynag, MD and Yung-tsai Li, MD, Dermatology Surgery 2002; 28: 419-421

  17. Wedge Excision of the Nail Fold in the Treatment of Ingrown Toenail, Persichetti P, MD, PhD, Simone P, MD, Li Vecchi G, MD, Di Lella F, MD, Cagli B, MD, and Marangi G, MD, Annals of Plastic Surgery • Volume 52, Number 6, June 2004




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