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Partial surgical avulsion of the nail in onychomycosis

, : Partial surgical avulsion of the nail in onychomycosis. Clinical & Experimental Dermatology 10(5): 413-418

Twenty cases of onychomycosis were treated with systemic or topical antifungal agents and surgical avulsion of part of the nail plate. This technique is suitable for onychomycosis of limited extent and results in reasonable remission rates while reducing the time needed for systemic therapy. The patients treated presented with either a dermatophyte infection (12) or Candida paronychia (8) with secondary nail plate invasion. The classification of nail disease caused by fungi is discussed and a number of modifications are suggested.

Accession: 001424909

PMID: 2934186

DOI: 10.1111/j.1365-2230.1985.tb00597.x

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Related references

Rollman, O., 1982: Treatment of onychomycosis by partial nail avulsion and topical miconazole. 13 patients with distal subungual onychomycosis in a total of 48 dermatophyte-infected nails were treated with chemomechanical, partial nail avulsion followed by topical miconazole for 8 weeks. On examination, 6 months after cessation of therapy,...

Khan, I.Ali.; Shah, S.Fahd.; Waqar, S.Hussain.; Abdullali, M.Tariq.; Malik, Z.; Zahid, M.Abdul., 2015: Treatment of ingrown toe nail-comparison of phenolization after partial nail avulsion and partial nail avulsion alone. Ingrown toe nail is common problem presenting to the surgeon. Partial Nail avulsion only results in recurrence of the ingrown toe nail. The aim of this study was too see the effect of phenolization in preventing recurrence after partial nail avuls...

Grover, C.; Bansal, S.; Nanda, S.; Reddy, B.S.N.; Kumar, V., 2007: Combination of surgical avulsion and topical therapy for single nail onychomycosis: a randomized controlled trial. Background Conventional therapy of onychomycosis is prolonged and often frustrating, which is why combination therapy involving topical, oral and surgical measures has been advocated as the treatment of choice. There are no controlled studies eva...

Pandhi, D.; Verma, P., 2012: Nail avulsion: indications and methods (surgical nail avulsion). The nail is a subject of global importance for dermatologists, podiatrists and surgeons. Nail avulsion is a frequently undertaken, yet simple, intriguing procedure. It may either be surgical or chemical, using 40% urea. The former is most often un...

Dorn, M.; Kienitz, T.; Ryckmanns, F., 1980: Onychomycosis: experiences with atraumatic nail avulsion. Therapy, consisting of avulsion of the nail plate using 50% KI ointment, local antimycotic (clotrimazole, miconazole nitrate or econazole nitrate) and systemic griseofulvin, was successful for 101 of 250 patients with onychomycosis of finger nails...

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Hettinger, D.F.; Valinsky, M.S., 1991: Treatment of onychomycosis with nail avulsion and topical ketoconazole. A new, effective treatment alternative for onychomycosis is presented. It involves the avulsion of the affected toenails and daily appplication of topical ketoconazole cream. It is an ideal procedure when few nails are involved or when the patient...

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Sarifakioglu, E.; Sarifakioglu, N., 2011: Crescent excision of the nail fold with partial nail avulsion does work with ingrown toenails. European Journal of Dermatology 20(6): 822-823