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TWO APPROACHES TO SURGICAL TREATMENT OF INGROWN NAIL IN CHILDREN

Abstract

Purpose of the study. To compare two methods of surgical treatment of ingrown nail in children.Materials and methods. We compared the results of treating of an ingrown nail using the Winograd method among 126 patients(72 patients were operated on by the classical way, 54 - by modified one) and 18 patients according to the Vandenbos method. Conclusion. Surgical treatment of onychocryptosis using the classic and modified Winograd method is justified by low morbidity and short healing time of the postoperative wound 13,4 ± 3,95 days. Therefore, this method is recommended by the authors for use in patients who do not have hypertrophied nail folds. It is necessary to try not to unnecessarily narrow the nail plate, but to resect only its ingrown part. Then the supporting function of the nail and aesthetic appeal will be preserved.Surgical treatment of onychocryptosis using the Vandenbos method is preferred for advanced cases of the disease and for severe hypertrophy of the nail folds. This approach ultimately leads to a very good cosmetic result and a low probable relapse of the disease, which justifies the inconvenience of prolonged 34,4±3,06 days healing of the postoperative wound.

About the Authors

A. R. Kasyan
ГАУЗ «Лениногорская центральная районная больница»; ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


V. U. Sataev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


V. G. Alyangin
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


References

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Review

For citations:


Kasyan A.R., Sataev V.U., Alyangin V.G. TWO APPROACHES TO SURGICAL TREATMENT OF INGROWN NAIL IN CHILDREN. Bashkortostan Medical Journal. 2020;15(6):39-44. (In Russ.)

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ISSN 1999-6209 (Print)