Sharp Resection of Hypergranulation Tissue from Only One Sulcus in a Bilateral Stage 3 Onychocryptosis: A Case Report

Ian Reilly

doi:10.20944/preprints202304.1261.v1

Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Version 1 : Received: 30 April 2023 / Approved: 30 April 2023 / Online: 30 April 2023 (04:48:26 CEST)

Ingrown toenails are a commonly occurring foot complaint. The condition occurs when the nail plate pierces the sulcus, giving rise to pain, inflammation and infection. As the skin attempts to heal itself, hypergranulation tissue may form. This is a case report of phenolic nail surgery treatment for a bilateral presentation with sharp resection of hypergranulation tissue performed in only one (the lateral) of the two affected sulci. Sharp resection of the residual medial hypergranulation tissue was performed two months after the index procedure when this had not settled. The case highlights the potential role of sharp resection in the overall improvement of treatment outcomes.

Ingrown toenail; onychocryptosis; hypergranulation tissue; proud flesh; sharp resection

Medicine and Pharmacology, Dermatology

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Sharp Resection of Hypergranulation Tissue from Only One Sulcus in a Bilateral Stage 3 Onychocryptosis: A Case Report

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