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KMID : 0363220220600100675
Korean Journal of Dermatology
2022 Volume.60 No. 10 p.675 ~ p.678
A Case of Successfully Treated Onychogryphosis: Traction Osteophyte Removal with Inverted T Incision and Fusiform Excision of Hyponychium
Jung Yeon-Joo

Bae Jai-Hee
Jang Dong-Hwi
Shim Joon-Ho
Oh Se-Jin
Lee Jong-Hee
Lee Dong-Youn
Lee Joo-Hong
Park Ji-Hye
Abstract
Onychogryphosis is a disorder of nail plate growth, which most commonly involves the toenails. It is characterizedby opaque, yellow-brown thickening of the nail plate with associated marked convexity and elongation. Treatmentfor onychogryphosis can be conservative or operative depending on the cause and medical status of the patient. A30-year-old male presented with onychogryphosis of the right and left toenails. Since the patient had shownrecurrence after simple nail avulsion several years ago, the inverted T incision method and fusiform excision of thehypertrophic hyponychium were performed. No recurrence was observed during the 3-year follow-up period. Ourresults showed that nail avulsion combined with traction osteophyte removal is a suitable surgical method fortreating onychogryphosis.
KEYWORD
Malformed, Nail diseases, Nails, Surgery, Surgical flaps
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