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PNA Phenolisation and Regrowth

Discussion in 'General Issues and Discussion Forum' started by Jp Scholer, Apr 18, 2012.

  1. Jp Scholer

    Jp Scholer Member


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    Hello,

    I am just wondering whether anyone has ever had a case where phenol simply did not work and regrowth occurred repeatedly. Should a patient in that case be referred for sharp excision? or should the procedure be repeated with a longer exposure time to phenol, until it works?

    Many thanks for any comments.
     
  2. supapong

    supapong Welcome New Poster


    .........................................
    Hi,

    Just curious, how many % of the phenol do you normally use in your surgery? And how long do you phenolize the nail matrix?
     
  3. Jp Scholer

    Jp Scholer Member

    80%, 3 minutes
     
  4. drsarbes

    drsarbes Well-Known Member

    Hi Jp
    Yes, I have had two cases in my 3 decades of practice when repeated phenol procedures did not work.
    I admit, I had to scratch my head and ended up doing Frost type procedures.

    Other than these patients being super heros and thus possibly immune to the effects of phenol, I cannot explain this.

    Steve
     
  5. marjfra

    marjfra Member

    Hi Jp,
    This will be my 23rd year in practice.
    I've had 1 person who seemed to be resistant to liquid phenol. A healthy 17yo young lady. I remember her distinctly, as I could never work out why. Both hallux, both sulcus.
    She ended up having a sharp resection procedure.

    As for increasing the exposure time to phenol, I don't think this will make much difference. I remember speaking to a surgical colleague who felt that liquid phenol's performance diminished after about 30 secs. He was of the opinion that there was very little tissue destruction after this.

    For the record, I do 3 applications with a minimum of 45secs each.

    MF
     
  6. Jp Scholer

    Jp Scholer Member

    many thanks for your replies.

    I don't think there is some mysterious immunity though, as the procedure was successful on the patient's other hallux (the first time, that is).

    I might just give it another try and then refer...
    i hate when things happen that can't be explained :)
     
  7. MAG1064

    MAG1064 Member

    Have you used a torni-cot exsanguinating tourniquet. I would try 2-3 Phenol procedures then go to a Frost / Winograd.
     
  8. Jp Scholer

    Jp Scholer Member

    yes I always do. thank you for your reply
     
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