Recurrence
At least 10-60% of individuals who have partial avulsion of nail or those managed conservatively develop recurrence. Once recurrence has occurred, it is recommended that the nail be completely removed and the nail matrix be treated chemically. Some physicians may use heat, laser, or cryotherapy to treat the nail matrix.
Who should not undergo surgical removal of ingrown toenail?
Those individuals who have:
- Allergy to local anesthetics
- Bleeding disorders
- Are pregnant and if phenol use is considered.
All patients undergoing toenail surgery should receive appropriate education regarding postoperative care.
If the toenail is healing poorly after a few weeks, an x ray is warranted, In such case, it is most likely that the physician has used too much heat or laser and has damaged the nail matrix.
Consumers should understand that once an ingrown nail is removed, it will take time to grow a new nail but the appearance will be very similar to a normal nail.
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