A Comparison of the Chemical Matricectomy with Sodium Hydroxide and Winograd Method in the Operative Treatment of Ingrown Nail: A Case Control Study Tırnak Batması Cerrahi Tedavisinde Sodyum Hidroksit ile Kimyasal Matrisektomi ve Winograd Yönteminin Karşılaştırılması: Bir Olgu Kontrol Çalışması
Turkiye Klinikleri Dermatoloji, cilt.33, sa.3, ss.85-91, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.5336/dermato.2023-96968
- Dergi Adı: Turkiye Klinikleri Dermatoloji
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.85-91
- Anahtar Kelimeler: Heifetz, ingrown toenail, matricectomy, sodium hydroxide, Winograd
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: There is no consensus on the operative method for ingrown nail treatment. The aim of this study was to compare the Winograd method and chemical matricectomy with sodium hydroxide in the treatment of ingrown big toenails. Material and Methods: 31 patients with chemical matricectomy with sodium hydroxide and 29 patients with the Winograd method were analyzed retrospectively. The two groups were compared in terms of intraoperative pain, the need for local anesthesia, patient satisfaction, Dermatology Life Quality Index, recurrence, and complication rates. Results: The mean intraoperative pain scores in groups chemical matricectomy and Winograd were 0.54±0.96 and 3.86±1.43, respectively (p=0.001). The recurrence rates were similar between the two groups (p=1.000). The number of satisfied and very satisfied patients at the last follow-up was respectively 31 (100%), in chemical matricectomy and 26 (89.65%) in Winograd group. The chemical matricectomy had a significantly rapid return time to school or work (day) (p<0.001). A statistically significantly negative correlation was found between preoperative Dermatological Quality of Life Index (DLQI) and post-operative satisfaction level (r=-0.312, p=0.024). Conclusion: Chemical matricectomy with sodium hydroxide and Winograd methods are both effective and reliable treatment methods in the treatment of ingrown toenails. Less intraoperative pain, the use of anesthetic agents, and rapid return time to school or work (day) may be an advantage of chemical matricectomy with sodium hydroxide. DLQI score before the procedures may give a clue for predicting satisfaction levels after ingrown nail procedures.