nail bed
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Hand ◽  
2021 ◽  
pp. 155894472110643
Author(s):  
Jefferson Braga Silva ◽  
Gabriela A. Magnus ◽  
Valentina Stanham ◽  
Cecília G. Wolff ◽  
Carolina S. Aranchipe ◽  
...  

Background: The regenerative potential of the nail bed after trauma remains controversial. Methods: We performed a retrospective review of 51 patients who underwent nail bed reconstruction with 2 techniques (direct flow island flap or a Tranquilli-Leali “Atasoy” flap) due to trauma involving the nail bed complex. These 2 flaps were used to support the loss of distal substance and to allow the regeneration of the nail bed. Outcomes were analyzed for at least 18 months. There were 34 men (66.7%), and the average age was 16.1 years. Most patients (56.9%) had crush injuries. The little (16) and index (14) fingers were the most affected. Twenty-seven were children (range: 4-11) with an average age of 7.4 ± 1.9 years. The middle finger was the most affected (29.2%). Results: The outcomes were good to excellent in 41 operated patients (80.4%). Hook nail was absent in 84.3% of the patients. Most patients (98%) did not develop necrosis. Children had an excellent/good outcome rate of 85.2%, while in adults, the rate was 75% of cases ( P = .485). Conclusion: The direct flow island flap is superior in terms of outcome, regardless of age, sex, affected finger, dominant hand, type of trauma, and injury zone. In cases where there was a correct reconstruction of the hyponychium, there was regeneration of the nail bed.


Author(s):  
Mahmoud Farzan ◽  
Mahdi Neshan ◽  
Amir Reza Farhoud ◽  
Abbas Abdoli

Background: Although there are various surgical methods for subungual glomus tumor treatment, there is no consensus on the optimal surgical approach. Methods: We analyzed the outcomes of 15 patients treated with partial nail plate excision technique. The medial or lateral section of the nail plate was excised longitudinally based on the tumor location. After incision of the nail bed and tumor removal, the matrix was repaired carefully. Results: In this study, 15 people, including 11 men and four women, were studied. The mean onset of symptoms until diagnosis was 88 months. In the postoperative evaluation, the mean follow-up was 20 months. Two patients had recurrent tumors, and one had postoperative nail deformity. Conclusion: Meticulous nail bed repair and complete tumor excision are key treatment points needed to prevent nail deformity and recurrence.  


2021 ◽  
Author(s):  
D. Becker‐Capeller ◽  
S. El‐Nawab‐Becker ◽  
M. Töllner ◽  
A. Kleinheinz ◽  
T. Witte
Keyword(s):  
Nail Bed ◽  

2021 ◽  
Vol 62 (1) ◽  
pp. 233-238
Author(s):  
Mihaela Perţea ◽  
◽  
Vladimir Poroch ◽  
Natalia Velenciuc ◽  
Mihaela Mitrea ◽  
...  
Keyword(s):  

2021 ◽  
Author(s):  
Leonard H. Goldberg ◽  
Mehdi Farshchian ◽  
Isadore S. Tarantino ◽  
Kourosh Beroukhim ◽  
Arash Kimyai‐Asadi
Keyword(s):  

2021 ◽  
Vol 38 (4) ◽  
pp. 521-527
Author(s):  
Flavia Filisio ◽  
Shelby Busch ◽  
Delaney J.H. Wickramage ◽  
Russell Hill ◽  
Sushila Kabadi ◽  
...  
Keyword(s):  

2021 ◽  
pp. 1-3
Author(s):  
Dana Sous ◽  
Michela V.R. Starace ◽  
Lu Chen ◽  
Elizabeth L. Nieman ◽  
Milan J. Anadkat ◽  
...  

<b><i>Introduction:</i></b> Onychomadesis occurs when the nail plate separates from the nail matrix and nail bed, eventually leading to shedding of the nail. This condition has been attributed to viral infections, autoimmune disorders, drug side effects, and physical trauma. A subset of patients has a recurrent form of onychomadesis without a clear trigger; this phenomenon is not well characterized in the literature. <b><i>Case Presentation:</i></b> We present a case series of pediatric and adult patients with recurrent toenail onychomadesis in order to better characterize the disorder and explore possible etiologies, risk factors, and treatments. <b><i>Discussion/Conclusion:</i></b> For the cases herein, we propose microtrauma associated with footwear as the underlying etiology given the periodicity of nail shedding, exclusion of other etiological factors, and presence of predisposing risk factors in certain patients. Many patients saw improvement with application of urea 40% cream, suggesting this can be a valuable part of a treatment strategy, in addition to minimizing injury to involved digits.


Author(s):  
Adam L. Isaac ◽  
Sarwat Siddiqui ◽  
David Vieweger ◽  
Brock W. Adams ◽  
Gene Mirkin ◽  
...  
Keyword(s):  

2021 ◽  
pp. 1-5
Author(s):  
Benjamin Buttars ◽  
Steven Gates Scott ◽  
Danielle Glinka ◽  
C. Ralph Daniel ◽  
Robert T. Brodell ◽  
...  

<b><i>Importance:</i></b> Congenital malalignment of the great toenail (CMGT) is an idiopathic deviation of the nail apparatus. CMGT predisposes patients to recurrent stress forces, microtrauma, and secondary complications. The purpose of this study was to review the current published photographs to determine the relationship between variants of CMGT and the disappearing nail bed (DNB). <b><i>Observations:</i></b> A search in PubMed and Google using the terms congenital malalignment of the great toenail, disappearing nail bed, and lateral nail deviation was performed. Of the 53 photographs found in a total of 35 articles, 23 were disqualified due to low picture resolution or poor angle. The remaining 30 photographs were evaluated. Pure nail malalignment with associated dystrophy and DNB was found in 22 of 30 photographs. Four of 30 cases demonstrated pure deviation of the distal phalanx, with nail dystrophy but minimal DNB. The remaining 4 cases demonstrated a combination of toe deviation and nail unit deviation with varying degrees of DNB. <b><i>Conclusions and Relevance:</i></b> DNB was associated with all forms of pure CMGT. Moreover, a variant of malalignment of the distal phalanx was noted in 8 photographs. This has potential implications for further studies and treatment to correct secondary complications.


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