Toe Nail Excision Treatment
Ingrown toenail oronychocryptosis or unguis incarnates, is the inward growth of nail into the periungual soft tissue of any nail. It occurs when the edges or corners of the nail grow into the skin next to the nail.Although it can occur in any nail but great toe is the most commonly affected.
Causes of In growing nail
The presence of a lateral projection of nail growing into the periungual soft tissue is the major cause of ingrowing nail. This can occur because of any of the following reasons:
Compression on the great toe by footwear
Excessive weight bearing on any toe can result in tissue bulging
Inappropriately cut nail can irritate the fold allowing colonization of bacteria or fungus
Presence of excessive amount of tissue along lateral nail fold
Irregular, curved toenails
Improper foot hygiene especially wet and sweaty feet
Having unusually curved toenails
Symptoms of Ingrowing toe nail
Ingrown toenails is a very painful condition that can get worse in stages.
Early stage symptoms include:
Tender, swollen or hard skin next to the nail
Accumulated fluid around toe
In case the condition aggravates and infection occurs, following symptoms may appear:
Red and swollen skin
Tests and diagnosis
Diagnosis of ingrown toenail is based on symptoms and physical examination of the nail and the surrounding skin. In case the nail gets infected an X-ray is performed.
Treatment of Ingrown Toenail
The treatment of ingrown toenail depends upon the condition of the toenail.
In case there is no infection, conservative treatment like warm water and salt soaks or antibacterial ointment may give relief to the patient.
Surgery is required only when nail gets infected. It can be just slight lifting of the nail, partial removal of the nail (partial wedge resection) or removal of whole nail and surrounding infected tissue (matrixcestomy).