What are the instruments needed for a toenail removal?
Toenail Procedure Trays come with five surgical instruments necessary for performing the procedure, including Kelly forceps, Adson forceps, Iris scissors, a nail nipper, and a probe with eye.
What chemical is used in a Matrixectomy?
Phenol is the most commonly used agent for chemical matricectomy, but other agents, such as sodium hydroxide (NaOH) and trichloroacetic acid (TCA), have shown high success rates for the cauterization of the lateral matrix horn (1).
What is a Matrixectomy?
This procedure is used to remove the problem portion of an ingrown toenail and to prevent the ingrown toenail from recurring.
What is the chemical used in ingrown toenail surgery?
The two chemical agents used in this procedure are phenol and sodium hydroxide. Phenol was the first agent to be described with success rates of over 95%. Comparable rates are mentioned by authors using sodium hydroxide, with shorter postoperative healing times.
How do doctors remove ingrown toenails?
For a slightly ingrown nail, your health care provider may carefully lift the ingrowing nail edge and place cotton, dental floss or a splint under it. This separates the nail from the overlying skin and helps the nail grow above the skin edge, usually in 2 to 12 weeks.
Does nail grow back after Matrixectomy?
When performed with a chemical matrixectomy, the nail will not regrow and you will no longer suffer from the problems your toenail was causing. When performed without, the nail will regrow from scratch, a process that takes approximately 12 months.
How is a Matrixectomy performed?
A straight line is cut through this piece of the nail from the tip of the nail to the root. This portion of the nail is then completely removed. The surgeon will then treat the base of the nail (which is called the nail matrix) in order to prevent the ingrown toenail from coming back again.
Why phenol is used for ingrown toenail?
It acts via denaturation of the matrix and any other soft tissue proteins. The aim of phenol therapy is chemical destruction of the lateral and proximal horns of the matrix, and prevention of future growth of the lateral nail plate into the proximolateral nail fold.
Is Matricectomy painful?
This in office procedure is painless once the toe is anesthetized. It takes less than a few minutes to complete the procedure. Once the toe is numbed up, the portion or portions of the nail that are causing the pain are removed using special sterilized instruments designed specifically for this procedure.
Is Matrixectomy permanent?
A matrixectomy is the medical term that means removing the growth area of the nail that is leading to the curved ingrown toenail. This allows for a permanent solution to prevent your ingrown toenail from returning.
How do you remove a deep ingrown toenail?
Use a pair of tweezers to gently push a tiny piece of cotton or gauze into the corner of your toenail where it’s ingrown. This helps to make a space between the nail and the skin. Cut the visible nail corner or the ingrown spur away to help relieve the pressure and pain.
Does a Matrixectomy hurt?
What phenol removes toenails?
Options for destruction of the nail-forming matrix beneath where the nail plate was removed include phenolization or mechanical destruction of the nail matrix. For phenolization, apply an 80 to 88% phenol solution directly to the nail matrix three times for 30 seconds each round (Figure 8).
Does phenol stop nail growth?
Phenol prevents regrowth of the nail. If you do have phenol applied, the nail will not grow back. This will not affect you in any way, except cosmetically.
How can I permanently fix an ingrown toenail?
An ingrown toenail can be permanently corrected with a procedure called a chemical matrixectomy. This procedure involves removing either a portion of the nail that is ingrown or the entire toenail in certain cases.
Can I cut out my own ingrown toenail?
A common approach to ingrown toenails is to “dig them out.” Podiatrists caution against this. When cutting out your ingrown toenail, you might lacerate the skin, making it easy for an infection to set in. Although it may seem easy to dig it out, and perhaps you have done it before, you should not.
How do you destroy the nail matrix?
Electrocautery ablation is used to destroy the nail-forming matrix beneath the area where the nail plate has been removed. The flat matricectomy electrode is coated on one side to avoid damage to the overlying proximal nail fold.
Can a nail growing back after phenol?
If you do have phenol applied, the nail will not grow back. This will not affect you in any way, except cosmetically.
How long does a Matrixectomy take to heal?
The doctor will finish the procedure by applying antibiotic ointment, gauze bandage, and a compressive wrap. Upon this procedure, the patient is advised to avoid physical activities for several days to allow the nail to begin healing. Full recovery is expected after only a few weeks.
Can a nail grow back after Matrixectomy?