A New Treatment for Ingrown Toenails of hallux with the resection of granulation tissue, nail wiring and cotton-packing

Abstract

The pathogenesis of ingrown toenails with granulation tissue is considered to involve a vicious cycle, consisting of continuous mechanical stimulation generated by contact between the nails, skin and granulation tissues, and of regeneration of granulation tissue. A combination of the following treatments was given to 6 patients with 6 halluces: (1) resection of granulation tissue, (2) nail wiring, and (3) cotton filling adherence method (developed by Hasegawa). The mean treatment period was approximately 3 weeks. This approach was extremely useful in treating ingrown toenails with granulation tissue that has conventionally been thought to be intractable.