1. The treatment of ingrowing toenails. A randomised comparison of wedge excision and phenol cauterisation.
- Author
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van der Ham AC, Hackeng CA, and Yo TI
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Nails, Ingrown surgery, Prospective Studies, Random Allocation, Cautery methods, Nails, Ingrown therapy, Phenols therapeutic use
- Abstract
We treated 249 patients for ingrowing toenails in a prospective randomised study which compared wedge excision with segmental phenol cauterisation. Follow-up of 97% was at a minimum of 14 months. The analgesic requirement was significantly lower after phenol cauterisation (p less than 0.001), and significantly fewer patients needed to miss school or work (p = 0.001). Recurrence of ingrowth was seen in 16% after wedge excision and 9.6% after phenol cauterisation (not significant), but re-operation was significantly less frequent after phenol (p less than 0.01). Phenol cauterisation gives better short-term and long-term results than wedge resection.
- Published
- 1990
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