Conservative approaches for the treatment of ingrown toenails without infection include placing a cotton wisp dental floss or gutter splint with or without acrylic nail under the ingrown nail.
Gutter splint toenail.
Herein we describe a more conservative gutter technique that is less traumatic and does not require anesthesia.
This method requires anesthesia.
Thoroughly rinse with 70 isopropyl alcohol or saline to.
A conservative method to gutter splint ingrown toenails methods.
Vigorously rub on the lateral horn of the nail matrix for.
Roll a 2 3 cm wisp of cotton saturated with alcohol to form a cylinder.
Excise nail sulcus using the tip of a curved hemostat to provide space.
In the classic gutter splint method the ingrown edge of the nail plate is freed up to the extreme proximal part and then splinted using a gutter.
Prevent contact with surrounding structures because more extensive damage could occur and wound healing could be delayed.
Apply 10 sodium hydroxide with a cotton tipped applicator.
The purpose of splinting is to prevent the toenail from growing back into the lateral nail fold.
Results.
Often simple elevation of the nail out of the lateral nail fold under digital block anesthesia is all that is needed to treat a paronychia.
This will keep the nail lifted during subsequent growth.
In an ingrown toenail the ingrown part of the nail plate is floating over the.