Abstract：
BACKGROUND: Toenails play a great part in protecting toes and peripheral soft tissues, simultaneously playing a cosmetic role. The ideal treatment should result in a functional and aesthetic outcome.
OBJECTIVE: To describe a novel, aesthetic and minimally invasive method to treat ingrown toenail.
METHODS: We retrospectively analyzed 436 lesions of 395 ingrown toes in 353 patients with a mean age of 26.0 ± 13.4 (range 10-55) from June 2014 to March 2020 in our department. A novel cosmetic approach for partial matricectomy in treating ingrown toenails was undergone. The average follow-up time was 27.5 ± 2.8 months. The average period prior to work resumption, recurrence rate, and infection rate were measured. Mean pain Visual Analogue Scale (VAS) and Mean satisfaction VAS were used to evaluate the foot appearance.
RESULTS: The average period prior work resumption was 2.2 ± 2.1 days (range, 0-7 days). The recurrence rate was 1.6% (7 lesions in 6 patients) at more than 2 years of follow-up. There was no critical complication except infection (0.46%). Mean pain VAS reduced from a preoperative score of 7.7 ± 1.5 points (range, 6-10 points) to a postoperative 3-day score of 2.2 ± 1.0 points (range, 1-4 points; p < 0.001) while Mean satisfaction VAS improved from 1.5 ± 1.3 points (range, 0-3 points) to 9.2 ± 0.6 points (range, 8-10 points; p < 0.001).
CONCLUSIONS: Our proposed approach is minimally invasive relative to conventional methods, which can achieve comparable efficacy to treat ingrown toenails with granulation tissue. Therefore, it can serve as another option to treat this specific type of ingrown toenails.
OBJECTIVE: To describe a novel, aesthetic and minimally invasive method to treat ingrown toenail.
METHODS: We retrospectively analyzed 436 lesions of 395 ingrown toes in 353 patients with a mean age of 26.0 ± 13.4 (range 10-55) from June 2014 to March 2020 in our department. A novel cosmetic approach for partial matricectomy in treating ingrown toenails was undergone. The average follow-up time was 27.5 ± 2.8 months. The average period prior to work resumption, recurrence rate, and infection rate were measured. Mean pain Visual Analogue Scale (VAS) and Mean satisfaction VAS were used to evaluate the foot appearance.
RESULTS: The average period prior work resumption was 2.2 ± 2.1 days (range, 0-7 days). The recurrence rate was 1.6% (7 lesions in 6 patients) at more than 2 years of follow-up. There was no critical complication except infection (0.46%). Mean pain VAS reduced from a preoperative score of 7.7 ± 1.5 points (range, 6-10 points) to a postoperative 3-day score of 2.2 ± 1.0 points (range, 1-4 points; p < 0.001) while Mean satisfaction VAS improved from 1.5 ± 1.3 points (range, 0-3 points) to 9.2 ± 0.6 points (range, 8-10 points; p < 0.001).
CONCLUSIONS: Our proposed approach is minimally invasive relative to conventional methods, which can achieve comparable efficacy to treat ingrown toenails with granulation tissue. Therefore, it can serve as another option to treat this specific type of ingrown toenails.
摘要：
背景：脚趾甲在保护脚趾和周围软组织方面发挥了重要作用，同时发挥美容作用。理想的治疗应导致功能和美学结果。
目的：为了描述一部小说，美学和微创的方法来治疗向内生长的脚趾甲。
方法：我们回顾性分析了2014年6月至2020年3月在我科就诊的353例平均年龄26.0±13.4（范围10-55）患者中395个向内脚趾的436个病变。采用了一种新颖的美容方法来治疗向内生长的脚趾甲。平均随访时间为27.5±2.8个月。复工前的平均时间,复发率,并测量感染率。使用平均疼痛视觉模拟量表（VAS）和平均满意度VAS来评估足部外观。
结果：恢复工作前的平均时间为2.2±2.1天（范围，0-7天）。随访2年以上，复发率为1.6％（6例患者中有7个病灶）。除感染外，无严重并发症（0.46％）。平均疼痛VAS从术前评分7.7±1.5分降低（范围，6-10分）至术后3天评分为2.2±1.0分（范围，1-4分；p<0.001)，而平均满意度VAS从1.5±1.3分提高(范围，0-3分）至9.2±0.6分（范围，8-10分；p<0.001）。
结论：我们提出的方法相对于传统方法是微创的，可以达到与肉芽组织治疗向内生长的脚趾甲相当的疗效。因此,它可以作为另一种选择来治疗这种特定类型的向内生长的脚趾甲。
目的：为了描述一部小说，美学和微创的方法来治疗向内生长的脚趾甲。
方法：我们回顾性分析了2014年6月至2020年3月在我科就诊的353例平均年龄26.0±13.4（范围10-55）患者中395个向内脚趾的436个病变。采用了一种新颖的美容方法来治疗向内生长的脚趾甲。平均随访时间为27.5±2.8个月。复工前的平均时间,复发率,并测量感染率。使用平均疼痛视觉模拟量表（VAS）和平均满意度VAS来评估足部外观。
结果：恢复工作前的平均时间为2.2±2.1天（范围，0-7天）。随访2年以上，复发率为1.6％（6例患者中有7个病灶）。除感染外，无严重并发症（0.46％）。平均疼痛VAS从术前评分7.7±1.5分降低（范围，6-10分）至术后3天评分为2.2±1.0分（范围，1-4分；p<0.001)，而平均满意度VAS从1.5±1.3分提高(范围，0-3分）至9.2±0.6分（范围，8-10分；p<0.001）。
结论：我们提出的方法相对于传统方法是微创的，可以达到与肉芽组织治疗向内生长的脚趾甲相当的疗效。因此,它可以作为另一种选择来治疗这种特定类型的向内生长的脚趾甲。
