Nail fold resection is a surgical procedure aimed at treating conditions affecting the nail fold, which is the tissue surrounding the base and sides of the nail. This procedure is often performed to address chronic inflammation, infection, or deformities in the nail fold area. Common indications for nail fold resection include severe cases of ingrown toenails (onychocryptosis), chronic paronychia (infection of the nail fold), or recurrent nail fold issues that do not respond to conservative treatments. During the procedure, a local anesthetic is administered to numb the affected area. The surgeon then carefully excises a portion of the nail fold tissue, which may include removing a segment of the nail or surrounding soft tissue, depending on the underlying issue. The goal is to relieve pressure, remove infected or inflamed tissue, and improve nail growth and function. In cases of ingrown toenails, the resection may involve partial removal of the nail matrix (the tissue under the base of the nail where new nail cells are produced) to prevent recurrence. Symptoms indicating the need for nail fold resection include severe pain, swelling, redness, and drainage around the nail. Patients may also experience persistent infections, significant discomfort, or difficulty with nail growth that affects daily activities.
Complications of nail fold resection can include infection, bleeding, scarring, and delayed wound healing. There is also a risk of nail deformity or nail regrowth issues if the nail matrix is affected. To minimize complications, it is crucial for the procedure to be performed with sterile techniques and for proper post-operative care to be followed. Aftercare typically involves keeping the area clean and dry, using prescribed antibiotics if necessary, and avoiding activities that could stress the healing tissue. Patients may need to follow up with their healthcare provider to monitor healing and address any issues. Proper care and adherence to follow-up instructions are essential for optimal recovery and to prevent recurrence of the original issue. Nail fold resection is a targeted approach to resolving chronic or severe nail fold problems, offering relief from symptoms and improving nail health and function.
