XXXX gel sheeting for the management and prevention of onychocryptosis.

@entity1 @entity1184 @entity1346 @entity2805 @entity14602
BACKGROUND: Onychocryptosis, commonly referred to as @entity14602 , has many therapeutic alternatives for its management. Although mild cases can be treated conservatively, in severe cases, surgical treatment is preferred. @entity1346 gel sheeting is found to be effective in the treatment of @entity2805 and keloids. OBJECTIVE: To document the effectiveness of @entity1346 gel sheeting in the management of @entity1 with onychocryptosis and in the prevention of the recurrences by breaking the devil's circle, which usually took place after the surgical procedures used in the treatment of the onychocryptosis. METHODS: Fourteen @entity1 were enrolled in the study. Entry criteria required the presence of slight (2 @entity1 ), moderate (2 @entity1 ), or severe (10 @entity1 ) onychocryptosis. The simple technique used in the study was the excision of the one-quarter part of the lesional side of the nail plate without excising the granulation tissue. After 24 hours, the @entity1346 was placed on the granulation tissue and the exposed nail bed. @entity1346 gel sheet was bandaged loosely without applying any pressure. @entity1 entering the study were given detailed instructions in applying and using the gel for 12 hours during the daytime. The study lasted for 14 months and was composed of a treatment period of 4 months and a follow-up period of 10 months. The @entity1 were evaluated every 2 weeks in the first month and then monthly. The change in thickness of granulation tissue was evaluated by comparing them with the baseline photographs and those taken at each visit. RESULTS: The management and prevention of onychocryptosis were achieved in 12 of 14 @entity1 (85.71%). The @entity1346 gel sheeting treatment was well tolerated except for an occasional transient exudation, which was resolved when the treatment was withdrawn. CONCLUSION: The results show that the new method that we used for the treatment of onychocryptosis is successful in reducing the thickness of the @entity1184 nail fold and prevents the recurrence of the condition during the regrowth of the nail plate by breaking the devil's circle. The advantage of this method is that it is not destructive to the nail matrix and the adjacent tissue.
