Background: Ingrown toenail (onychocryptosis) is a common and painful condition where the toenail grows into the surrounding skin, often causing inflammation, pain, infection and frequent recurrence. The condition most frequently affects the great toe and is common in adolescents and young adults. The aim of this study was to evaluate the outcomes of partial nail avulsion followed by partial matricectomy with phenol (88%) in the management of ingrown toenails of stage 2 and 3.
Methods: This was an observational study and was conducted in the department of dermatology in Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period from April 2023 to May 2024. In total 30 patients both male and female are included in the study. After surgery patients were followed up at 7th and 14th day for wound inspection and 4th and 6th week for post operative complication and then at 3 months interval for recurrence and late complication. Statistical analysis was done by using SPSS (statistical package for social science) version 23 for windows 10.
Results: In our study we found the mean age was 10±6.24 years. The participants, 36.67% had undergone previous surgery. Our results show, the (VAS) with a mean score of 1.8±1.7 on postoperative day 1, 1.2±1.4 on day 2, and 0.2±0.1 by the second postoperative week and the mean healing time was 12.3±3.1 days. We also found, 29 patients were completely recovered and the recurrence of ingrown toenails occurred in 3.3% of cases.
Conclusions: Partial nail avulsion with phenol matricectomy is an effective treatment for ingrown toenails, offering long-term relief with low recurrence rates
