Penatalaksanaan Ingrown nails

Oleh :

dr. Harris Bartimeus, Sp.B

Penatalaksanaan ingrown nails ditentukan berdasarkan keparahan. Ingrown nails ringan dapat ditangani secara konservatif, tetapi kasus yang berat akan memerlukan pembedahan. Tindakan bedah yang dapat dipilih antara lain partial nail avulsion (prosedur Ross), wedge excision, total nail avulsion, rotational flap technique of the nail fold, atau eksisi nail fold radikal (prosedur Vandenbos).[1,2,3,7]

Terapi Farmakologis

Analgesik mungkin diperlukan pada pasien yang mengeluhkan nyeri akibat ingrown nails. Analgesik yang dapat dipilih adalah paracetamol atau obat antiinflamasi nonsteroid lain seperti ibuprofen dan diklofenak.

Referensi

1. Stacey SK. A practical guide to the care of ingrown toenails. J Fam Pract. 2019 May;68(4):199-203. PMID: 31226174.
2. Chabchoub I, Litaiem N. Ingrown Toenails. [Updated 2022 Sep 18]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK546697/
3. Mayeaux EJ Jr, Carter C, Murphy TE. Ingrown Toenail Management. Am Fam Physician. 2019 Aug 1;100(3):158-164. PMID: 31361106.
4. Wisnu G. Manfaat Makrikektomi Kimia Dalam Mencegah Rekurensi Onychocryptosis. JIMKI, 2020. https://bapin-ismki.e-journal.id/jimki/article/download/129/133/
5. Elbendary AM. Ingrown nails. Background, Pathophysiology, Etiology. Medscape; 2022. https://emedicine.medscape.com/article/909807-overview
6. Haneke E. Controversies in the Treatment of Ingrown Nails. Dermatology Research and Practice. 2012;2012:1-12. doi:10.1155/2012/783924
7. Crowe CS. Nail surgery. Medscape; 2022. https://emedicine.medscape.com/article/1126725-overview#:~:text=Subungual%20exostoses%20are%20painful%20outgrowths,great%20toe%20in%20young%20persons.&text=Subungual%20exostosis%20is%20not%20a,implicated%20as%20the%20inciting%20cause.
8. Tosti A. Onychomycosis. Medscape; 2021. https://emedicine.medscape.com/article/1105828-overview
9. Unal E, Yuksekdag S. A fast and effective solution for ingrown toenail: Creation of a 2-mm space between tissue and nail by sutureless lateral longitudinal excision. Archives of Dermatological Research. 2021;313(9):799-803. https://doi.org/10.1007/s00403-020-02177-9
10. Muriel-Sánchez J, Becerro-de-Bengoa-Vallejo R, Montaño-Jiménez P, Coheña-Jiménez M. The Treatment of Ingrown Nail: Chemical Matricectomy With Phenol Versus Aesthetic Reconstruction. A Single Blinded Randomized Clinical Trial. Journal of Clinical Medicine. 2020;9(3):845. doi:10.3390/jcm9030845
11. Benzoni TE. Ingrown toenail (onychocryptosis). Medscape; 2021. https://emedicine.medscape.com/article/828072-overview
12. Gera SK, PG Zaini DKH, Wang S, Abdul Rahaman SHB, Chia RF, Lim KBL. Ingrowing toenails in children and adolescents: is nail avulsion superior to nonoperative treatment? Singapore Med J. 2019 Feb;60(2):94-96. doi: 10.11622/smedj.2018106. PMID: 30843080; PMCID: PMC6395834.

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