Efficacy of alcohol lavage in the phenolization treatment of ingrown toenails

NewsBot · Oct 14, 2011

Members do not see these Ads. Sign Up.
Evidence of the efficacy of alcohol lavage in the phenolization treatment of ingrown toenails.
Cordoba Diaz D, Losa Iglesias ME, Cordoba Diaz M, Becerro de Bengoa Vallejo R.
J Eur Acad Dermatol Venereol. 2011 Jul;25(7):794-8.

BACKGROUND:
For treatment of ingrown toenails, a phenolization is often chosen. Many reports describe an intra-operative irrigation or lavage of the wound with various types of alcohol to neutralize any residual phenol from this treatment. There are conflicting reports in the literature as to whether a true neutralization is required or merely effective removal of excess phenol.

OBJECTIVE:
The aim of our study was to analyse the suitability and effectiveness of the alcohol lavage step during the treatment of ingrown toenails with a phenolization procedure.

METHODS:
We performed an in vitro study using human skin and a diffusion cell apparatus to measure the amount of phenol remaining after various lavage washes. The effect of phenol evaporation was also examined.

RESULTS:
There was no measurable amount of phenol collected after each experiment, suggesting that diffusion of phenol through the skin does not exist. The open compartment test had significantly less phenol recovered compared with the occluded compartment test, indicating phenol evaporation.

STUDY LIMITATIONS:
None.

CONCLUSIONS:
An alcohol lavage step after the phenolization procedure can be a suitable and effective means of diluting and removing any excess or residual phenol from the exposed area.
Click to expand...

NewsBot · Dec 17, 2014

Healing Efficacy and Participant Outcomes of Chemical Matrixectomies Using a Hydrogel Containing Oakin.
Kristina N. Barreiro, Masoud Moradi, Thomas Merrill, James Losito, Charles Southerland, and Barbara Buckley
Journal of the American Podiatric Medical Association: November 2014, Vol. 104, No. 6, pp. 617-621.

Background: We sought to demonstrate the healing efficacy of an antimicrobial hydrogel containing Oakin, an oak extract, to heal postoperative partial and total chemical matrixectomies.

Methods: Sixty participants were eligible for this open-label prospective study by having an ingrown toenail and a willingness to have the ingrown portion of the nail or the entire toenail permanently removed. All of the participants underwent a similar nail surgery, were provided a postoperative kit that included the study hydrogel, and received the same sheet of instructions for aftercare.

Results: Fifty-four participants could be contacted for follow-up and final evaluation; 54% (n = 29) were men and 46% (n = 25) were women. Eighty-nine partial hallux nail avulsions with phenol matrixectomy were performed. The median ± SD time to healing was 7.00 ± 0.00 days for 80% of participants (n = 43) and 8.85 ± 4.15 days for 98% (n = 53). An analysis of variance showed that the proportion healed time trend is significant (F1,53 = 79.265; P < .001).

Conclusions: The study hydrogel's ability to stop phenol's caustic activity is clinically beneficial in phenol matrixectomy aftercare. Providing each participant with a kit that included the same dressing supplies yielded consistent aftercare outcomes and 98% patient satisfaction (n = 53). The findings show that the Oakin-containing hydrogel was efficacious in healing phenol matrixectomies without the need for soaking. Furthermore, we suggest that the study hydrogel could also reduce healing times.
Click to expand...

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Efficacy of LL-37 cream in enhancing healing of diabetic foot ulcer

The Efficacy of Acupuncture on the Foot and Ankle for Pain

Enhance Pain Self-efficacy in People With Chronic Musculoskeletal Pain

Efficacy of topical NSAIDs

Efficacy of Foot and Ankle Corticosteroid Injections

Efficacy of reflexology in managing patients with diabetic neuropathy

Question about efficacy others have experienced with Arizona AFO

Share This Page