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Surgical Treatment of Ingrown Toenail by Nail Fold Resection without Matricectomy

Background: ingrown toenail is a common condition. Although many methods for treatment are available, there is no consensus on the optimal treatment. Aim of the study: to evaluate surgical correction of ingrown toenails via soft-tissue excision of the nail folds with preservation of the nail and its matrix. Patients and Methods: This study includes one hundred (100) patients suffering from ingrowing toenail; these patients were enrolled in a combined prospective study and had a retrospectively gathered outcome analysis at the department of surgery, AL-Azhar University Hospital from October 2017 to October 2018. Results: significantly short operative time was recorded. Postoperative wound complications occurred in 15.7%% of patients. All cases presented in grade I (33 cases), only one case, symptoms and signs of grade I recurred 1 month after operation (recurrence rate 0.9%). The 27 cases presented in grade II ingrown toenails, symptoms and signs recurred in 7 cases (recurrence rate 6.5%). The 48 cases presented in grade III, symptoms and signs recurred in 10 cases (recurrence rate 9.2%). The recurrence rate in all cases was 18 cases (16.66%). Conclusion: nail fold excision of ingrowing toenail without matrisectomy is considered as an effective and safe method for ingrown nail treatment.