Abstract. Boll described phenolization in the United States as early as 1945. Phenol matricectomy is a very useful procedure and is used whenever it is necessary to destroy part of or a whole nail. Phenol is a colourless crystal derived from coal. It is a bactericide [>1 %], fungicide [>1.3%] and a local anaesthetic.
What is a matrixectomy?
Partial Nail Removal (Matrixectomy) is used to remove a portion of an ingrown toenail which causes pain or discomfort with a patient. The procedure also helps to prevent the ingrown toenail from returning.
what is phenol used for in podiatry?Phenol is commonly used in surgeries for ingrown toenails. It’s used on more severe ingrown toenails that don’t respond to other treatments. A 2014 paper in the Journal of the American Podiatric Medical Association found that sodium hydroxide had fewer complications than phenol as an ingrown toenail treatment.
how do you use phenol?
Using narrow cotton swabs, proceed to apply three applications of 89% phenol to the nail matrix for approximately 30 seconds each. Take care to hold the swabs at a 45-degree angle to the skin in order to avoid exposure of the nail bed to the phenol. Release the tourniquet.
How long does it take to heal from a Matrixectomy?
It is important to know that the nail will not appear the same as other nails if this ingrown toenail surgery technique is performed. The recovery process can take up to six to eight weeks. The presence of infection prior to surgery will prolong the recovery period.
How painful is ingrown toenail surgery?
Ingrown toenail procedures are by nature painless, because the toe is completely made numb by a local anesthetic before the procedure is performed. Most people have just a little tenderness with direct pressure on the nail area for a week or two after the procedure, although some people feel no discomfort at all.
How is a ingrown toenail removed?
This is a minor procedure that involves removing the part of the nail that is ingrown. Before surgery, the doctor will numb your toe by injecting it with medicine. First, they cut your toenail along the edge that is growing into your skin. Then, they pull out the piece of nail.
How can I permanently fix an ingrown toenail?
Here’s how: Soak your feet in warm water. Do this for 15 to 20 minutes three to four times a day. Place cotton or dental floss under your toenail. After each soaking, put fresh bits of cotton or waxed dental floss under the ingrown edge. Apply antibiotic cream. Choose sensible footwear. Take pain relievers.
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.
How long does it take to recover from an ingrown toenail surgery?
Keep your foot elevated and rest on the day of surgery. Your toe will have a large bandage on it. This dressing is usually left on for 24 hours. On average it will take six to twelve weeks for your nail to heal.
How long does a phenol burn take to heal?
two to three days
What happens during ingrown toenail surgery?
Surgical removal of an ingrown nail involves removing a small portion of the side of the nail and destroying the nail bed beneath. The toe is injected with a numbing medicine, and the toenail is cut to create a new, straight nail edge. The toe is then bandaged until it completely heals (a few weeks).
When should a toenail be removed?
Share on Pinterest A toenail should grow back within 18 months. When the toenail begins to fall off, a person may be advised to seek medical attention. However, in the first instance, they may start treatment on the toenail by: using a file to remove rough edges.
What does Phenolisation mean?
Boll described phenolization in the United States as early as 1945. Phenol matricectomy is a very useful procedure and is used whenever it is necessary to destroy part of or a whole nail. Phenol is a colourless crystal derived from coal.
Does a Matrixectomy hurt?
Does it hurt? Ingrown toenails can be painful, especially if you press on or around the nail. Some people report that the anesthetic injection before surgery can be painful. But after the injection takes effect and the numbness sets in, you should be comfortable during the procedure.