KMID : 0363220220600100675
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Korean Journal of Dermatology 2022 Volume.60 No. 10 p.675 ~ p.678
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A Case of Successfully Treated Onychogryphosis: Traction Osteophyte Removal with Inverted T Incision and Fusiform Excision of Hyponychium
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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
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Abstract
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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.
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KEYWORD
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Malformed, Nail diseases, Nails, Surgery, Surgical flaps
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