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Dermatology Research and Practice
Volume 2012 (2012), Article ID 783924, 12 pages
http://dx.doi.org/10.1155/2012/783924
Review Article

Controversies in the Treatment of Ingrown Nails

Eckart Haneke1,2,3,4

1Department of Dermatology, Inselspital, University of Bern, Freiburgstrasse 14, 3010 Bern, Switzerland
2Dermatology Practice Dermaticum, Freiburg, Germany
3Centro de Dermatología Epidermis, Instituto CUF, Porto, Portugal
4Department of Dermatology, Acad Hospital, University of Ghent, Gent, Belgium

Received 16 November 2011; Accepted 30 January 2012

Academic Editor: Bertrand Richert

Copyright © 2012 Eckart Haneke. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ingrown toenails are one of the most frequent nail disorders of young persons. They may negatively influence daily activities, cause discomfort and pain. Since more than 1000 years, many different treatments have been proposed. Today, conservative and surgical methods are available, which, when carried out with expertise, are able to cure the disease. Packing, taping, gutter treatment, and nail braces are options for relatively mild cases whereas surgery is exclusively done by physicians. Phenolisation of the lateral matrix horn is now the safest, simplest, and most commonly performed method with the lowest recurrence rate. Wedge excisions can no longer be recommended