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New Method Alternative to Surgery for Ingrown Nail: Angle Correction Technique

Ingrown nail is a disorder that affects mostly young adults (73% in patients aged 12–30), but it can be seen at any age. In general, the great toe is most commonly affected, but it may affect other toes as well. Although the etiology is not clearly known, genetic predisposition, inappropriate nail cutting, and wearing the wrong shoes facilitate the occurrence of ingrown nails. Its symptoms vary from mild discomfort to severe pain. Redness, inflammation, and abscess may develop occasionally in the great toe. It may lead to amputations or life-threatening infections in patients with diabetes. Sometimes pain itself leads to significant loss of man power. Because it develops intradermally, it may cause unpleasant foot odor due to debris and fat deposition between the skin and the nail. It may also lead to a nonesthetic appearance in the toenail. Different treatment modalities have been developed, including removal of the nail plate, orthonyxia, Emmert procedure, wedge resection, Zadik’s procedure, lateral approach, and ablation of the nail matrix using phenol or sodium hydroxide. Of these methods, surgical procedures are most commonly used, but in recent years, laser and thermal procedures are also being used. Medical and conservative treatments are mostly preferred for the treatment of infections. For all these treatment methods, the success rate of the treatment is low, and recurrence is frequent. The surgical procedures that aim at matrix removal may cause some problems, particularly in women regarding esthetic concerns. In this report, the clinical data and outcome results of eight patients treated using a procedure called ‘‘angle correction technique’’ are presented.