The side of the toenail grows into the soft skin nearby - ingrown toe nail or onychocryptosis
This case occurred over a year. No infection in this case. Painful when the toe is stepped upon. Recently, more painful after tour in Morrocco.
Specialist says that the ingrown toe nail will recur when he cuts it away. Not permitted to use chemical ablation in Singapore SGH.
Chemical Ablation Matrixectomy
Local anaesthesia
Tourniquet rubber tubing clamped by forceps.
Size 61 scalpel cuts strip
Strip removed
Clear debri.
Cotton bud - phenol onto nail bed
Clear debris
Irrigate
Cotton bud - isopropyl alcohol to neutralise phenol.
Clean up
Strip of cotton cover up. Padding. Dressing up.
Chemical ablation without surgery
Chemical ablation with surgery
Consent for Surgery Form. 3 risks explained.
Risks
1. Local anaesthetic - allergies
2. Phenol chemical ablation
3. 95 to 97% success. 3-5% recur. Cannot repeat surgery. Just cut softer nail.
Day 2 &3. Change bandage yourself. Pannadol for pain relief if present
Day 4. Goes to podiatrist. She used curette to scrap for pus. Very painful. Applied iodine.
6-8 wks to recover
CONSERVATIVE TREATMENT
Clip toe nail yourself. Painful.
Worried about being stepped on.
------------------------------
Day 2. Post op
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.