Open AccessNail bed expansion: A new technique for correction of multiple isolated congenital micronychia
Author(s) -
Gholamhossein Ghaffarpour,
Alirezā Faghihi,
Mohammadreza Ghasemi,
Gelareh Ghaffarpour
Publication year - 2014
Publication title -
advanced biomedical research
Language(s) - English
Resource type - Journals
ISSN - 2277-9175
DOI - 10.4103/2277-9175.129698
Subject(s) - nail (fastener) , medicine , surgery , splint (medicine) , vaseline , orthodontics , engineering , mechanical engineering , wound healing
Congenital micronychia may involve big toes or may involve other nails. The etiology of micronychia is not clear but amniotic bands, teratogens (drugs, alcohol), Nail Patella Syndrome etc. A 44-year-old woman with multiple isolated congenital micronychia over her hands and feet was selected. The major affected nails were thumbs and Index fingers. Surgical method were done step by step: Anesthesia of the area, extraction of short nail, elevation of nail bed, longitudinal nail bed incisions, suturing the lateral nail bed to the nail wall, covering the nail bed by a splint of plastic suction tube, bandage with gauze Vaseline. Finally, we hypnotized that in congenital micronychia, the main pathology is in nail bed; through this theory by nail bed expansion better outcomes are coming