How to Fix Deformed Fingernails: Options and Surgical Solutions - Surgery

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Deformed fingernails can be a distressing condition, and it’s understandable to seek solutions for this issue. The description you provided suggests that you might be dealing with a condition known as nail dystrophy, which can occur due to various reasons, including trauma, infections, or underlying health conditions. The fact that you have a gap where the nail should be, and that it has turned into flesh, indicates that there may be significant damage to the nail matrix or nail bed.


Understanding Nail Deformities
Nail deformities can arise from several factors, including:
1. Trauma: Physical injury to the nail can lead to permanent changes in nail growth and structure.

2. Infections: Fungal or bacterial infections can affect the nail and surrounding tissues, leading to deformities.

3. Skin Conditions: Conditions like psoriasis or eczema can also impact nail health.

4. Systemic Diseases: Certain diseases, such as diabetes or thyroid disorders, can lead to nail changes.


Treatment Options
1. Observation: If the deformity is mild and not causing any pain or discomfort, sometimes the best approach is to monitor the situation, as nails can sometimes grow back normally over time.

2. Topical Treatments: If there is an underlying fungal infection, antifungal treatments may be prescribed. For other conditions, topical steroids or other medications may help.

3. Surgical Solutions: If the nail matrix is severely damaged, surgical intervention may be necessary. This could include:
- Nail Bed Reconstruction: If the nail bed is damaged, a surgeon may perform a procedure to reconstruct it, which can help in regrowing a nail.

- Matrixectomy: In cases where the nail matrix is irreparably damaged, the nail may need to be removed entirely, and the matrix may be destroyed to prevent further nail growth.

- Nail Bed Grafting: In some cases, a graft from another part of the body may be used to repair the nail bed.


Nail Bed Reshaping Surgery
The procedure you mentioned, "甲床整形術" (nail bed reshaping surgery), is typically aimed at correcting deformities in the nail bed to allow for proper nail growth. This surgery can involve reshaping the nail bed and may include grafting techniques to promote healthy nail growth. The success of this procedure largely depends on the extent of the damage and the overall health of the surrounding tissues.


Where to Seek Help
For your condition, it would be best to consult a dermatologist or a hand surgeon who specializes in nail disorders. These specialists can provide a thorough examination and recommend the most appropriate treatment options based on the severity of your condition. If surgery is required, they will guide you through the process, including pre-operative assessments and post-operative care.


Conclusion
In summary, while deformed fingernails can be challenging, there are various treatment options available, including surgical solutions. The key is to seek professional medical advice to determine the best course of action for your specific situation. Early intervention can often lead to better outcomes, so don’t hesitate to reach out to a specialist for a comprehensive evaluation.