Abstract
Background: Partial nail plate avulsion and chemical matricectomy is the most successful modality for the treatment of unguis inkarinatus. Phenol, sodium hydroxide and Trichloroacetic Acid (TCA) have been used for chemical matricectomy. The aim of our study was to compare the efficacy and postoperative morbidity of phenol and Trichloroacetic Acid (TCA).
Materials and Methods: Seventy-five patients with 107 ingrowing nails were treated with either phenol or TCA. In the postoperative period, all patients were evaluated at 48 hours and afterward weekly until full wound healing was achieved for postoperative complication. All patients were followed up for the recurrence and effectiveness of treatment.
Results: The incidence of postoperative pain was found to be equal between phenol and TCA groups. Postoperative infection was occured 3 patients (8,3%) in the phenol group. Postoperative infection did not occur in TCA group. The incidence of drainage and complete healing duration was significantly higher in the phenol group (p<0.05). The overall success rates in the phenol and TCA groups were found to be 88,2% and 98,2%, respectively (p>0.05).
Conclusion: Postoperative morbitidy and recurrence rate was lower in the TCA group. Therefore, we suggest that TCA can be used in stead of phenol for chemical matricectomy.
Citation
Terzi E, Güvenç U, Türsen B, Tayfun E, Ço?ansu NC and Türsen Ü. Comparison of Phenol and Trichloroacetic Acid Chemical Matricectomies in the Treatment of Ungu?s Inkarinatus. SM Dermatolog J. 2018; 4(1): 1029.