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If the ingrown toenail recurs despite this treatment, destruction of the germinal matrix with phenol is recommended. [1] As an alternative, one may use 10% sodium hydroxide which is less toxic [2] or trichloroacetic acid which may give faster healing time. [3] Antibiotics are not needed if surgery is performed.
Nail bracing is more conservative than surgery, but less widely used. Nail braces work by gently lifting the sides of the toenail and eventually retraining the nail to grow to a flatter shape over time. The total time needed for the nail to be reshaped is one full nail growth or about 18 months. [12]
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Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, or minimize other potential medical harm, such as infections when antibiotics are unavailable.
Onychorrhexis also known as brittle nails, is brittleness with breakage of fingernails or toenails. Paronychia is a bacterial or fungal infection where the nail and skin meet. Koilonychia is when the nail curves upwards (becomes spoon-shaped) due to an iron deficiency. The normal process of change is: brittle nails, straight nails, spoon-shaped ...
The size of the margin is an important issue in areas that are functionally important (i.e., large vessels like the aorta or vital organs) or in areas for which the extent of surgery is minimized due to aesthetic concerns (i.e., melanoma of the face or squamous cell carcinoma of the penis). [2] The desired size of margin around the tumour can vary.
Podiatry (/ p oʊ ˈ d aɪ. ə t r i / poh-DY-ə-tree), or podiatric medicine and surgery (/ ˌ p oʊ d i ˈ æ t r ɪ k, p oʊ ˈ d aɪ. ə t r ɪ k / POH-dee-AT-rik, poh-DY-ə-trik), is a branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot, ankle and lower limb.
A case of fungal infection of the big toe Advanced fungal infection of the big toe. The most common symptom of a fungal nail infection is the nail becoming thickened and discoloured: white, black, yellow or green. As the infection progresses the nail can become brittle, with pieces breaking off or coming away from the toe or finger completely.