Treating intractable resistant nails, removing the flesh around them, not toenails, is effective
Mar 06, 2025
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A research team led by Professor Oh Byung-ho of the dermatology department at Yonsei University Severance Hospital announced on the 6th that performing the removal of surrounding soft tissues rather than the removal of claws in intractable resistant nail patients has a high cure rate, a low risk of recurrence, and a normalized width of the toenails, resulting in excellent functional and aesthetic treatment results.
Resistant claws penetrate the surrounding skin, causing inflammation and pain. It usually occurs in the claws of the big toe, but it is often caused by pressure on the foot area while walking or running. In the early stages, the toes turn red and cause mild pain, but without proper treatment, the deformation of the toenails becomes severe, which can lead to drooling or festering around the toenails, making daily life difficult.
In addition to the claws that have grown into the flesh, excessive swelling and inflammation of the flesh on both sides of the toenail can also cause resistant nails. In particular, if overweight or obese is accompanied in adolescence, excessive force is applied to the toenails that are not yet mature enough, causing the soft tissue around the toenails to swell and inflate, resulting in an inflammation that covers the toenails. In this case, there is a problem of repeated recurrence even though surgical treatment to cut off the toenails is performed. As a treatment to solve this problem, it is effective to remove the enlarged skin tissue.
However, surgery to remove soft tissue has not been widely used due to the long recovery period and concerns about infection because soft tissue on both sides of the toenail is removed and treated with a natural healing process without sealing it.
In order to verify the effectiveness of soft tissue resection, the research team analyzed the degree of improvement in the width of the toenail after surgery, the period of wound recovery, and side effects of 9 intractable nail patients. The degree of improvement in the toenail width before and after surgery used the newly developed image analysis method by the research team.
The analysis showed that the ratio of toenail width after soft tissue resection improved by up to 52.52% (average 22.68%). The average wound recovery period was 35.58 days, all of which were recovered within 2 months.
There were no recurrences in all patients, and since the claws were maintained without touching during surgery, no side effects such as pain-causing occurred even when walking for a long time after surgery. Infectious problems due to soft tissue resection occurred in one patient but recovered with antibiotic treatment.
If you think only dug claws are the cause, and if you treat refractory resistant nails, you can remove the roots of the claws or use chemical peelers to prevent the claws from growing in that direction. In this case, not only is the width of the toenail narrowed, which is not good cosmetically, but also the protection and support of the ends of the toenails weakened, which can cause pain when walking for a long time. In particular, the operationally narrowed toenails cannot return to the width of the normal toenails.
Professor Byung-ho Oh "This study confirmed the effectiveness of soft tissue resection in the treatment of resistant nail patients through objective indicators"Compared to conventional surgical methods, not only is it good in terms of beauty, but it is expected that the treatment effect can be maximized because there is less risk of side effects and recurrence."
The results of the study were published in the international journal `Dermatological Surgery.'
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This article was translated by Naver AI translator.
