Radical surgery for onychomycosis?
Does your hospital perform radical surgery for ingrown toenails? Specifically, using laser treatment to ablate the sides of the nail matrix to prevent the nail from growing into the skin.
Sun, 20~29 year old female. Ask Date: 2004/02/24
Dr. Luo Qihua reply Plastic Surgery
Hello: When a nail becomes ingrown severely, it can lead to the formation of a localized abscess and significant pain.
A surgical procedure can be performed by incising the skin on both sides of the nail base to partially excise the tissue where the nail grows, followed by suturing the skin.
This will result in the nail growing narrower in the future, thereby preventing it from growing into the flesh.
Reply Date: 2004/02/24
More Info
Laser treatment for permanent nail root surgery, often referred to as "nail matrix ablation," is a minimally invasive procedure designed to address ingrown toenails. This condition occurs when the edges of the toenail grow into the surrounding skin, leading to pain, inflammation, and sometimes infection. The laser technique has gained popularity due to its precision and reduced recovery time compared to traditional surgical methods.
What to Expect from Laser Treatment
1. Pre-Procedure Consultation: Before undergoing the procedure, you will have a consultation with a podiatrist or a specialist in nail disorders. During this visit, the doctor will assess the severity of your condition, discuss your medical history, and explain the procedure in detail. They will also address any concerns you may have.
2. Procedure Overview: The laser treatment typically involves the following steps:
- Anesthesia: Local anesthesia is administered to numb the area around the affected toenail. This ensures that you remain comfortable throughout the procedure.
- Laser Application: The doctor will use a specialized laser to precisely target the nail matrix (the tissue under the base of the nail) on both sides of the nail. The laser energy effectively destroys the cells responsible for nail growth, preventing the nail from regrowing into the skin.
- Minimal Bleeding: One of the advantages of laser treatment is that it cauterizes blood vessels as it works, leading to minimal bleeding and a lower risk of infection.
3. Post-Procedure Care: After the procedure, you may experience some swelling and discomfort, which can typically be managed with over-the-counter pain relievers. The doctor will provide specific aftercare instructions, which may include:
- Keeping the area clean and dry.
- Avoiding tight shoes or activities that may irritate the toe.
- Monitoring for signs of infection, such as increased redness, swelling, or discharge.
4. Recovery Time: Most patients can return to their normal activities within a few days. However, it’s essential to follow your doctor’s recommendations regarding activity restrictions and follow-up appointments.
5. Long-Term Outcomes: The success rate of laser nail matrix ablation is generally high, with many patients reporting significant relief from pain and recurrence of ingrown toenails. However, individual results may vary, and some patients may require additional treatments.
Additional Considerations
- Risks and Complications: While laser treatment is considered safe, there are potential risks, including infection, changes in nail appearance, or incomplete removal of the nail matrix, which could lead to recurrence.
- Alternative Treatments: Traditional surgical options, such as partial nail avulsion, are still available and may be recommended based on the specific case. These methods involve physically removing part of the nail and the underlying tissue.
- Consultation with a Specialist: If you are considering laser treatment for an ingrown toenail, it is crucial to consult with a qualified healthcare provider who specializes in nail disorders. They can help determine the best treatment option based on your individual needs and medical history.
In conclusion, laser treatment for permanent nail root surgery is a viable option for those suffering from recurrent ingrown toenails. It offers a less invasive alternative with a quick recovery time and minimal discomfort. If you are interested in this procedure, I recommend scheduling a consultation with a specialist at your hospital to discuss your options and what you can expect from the treatment.
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