Abstract
Nail surgery represents a fundamental subset of dermatologic surgery. Nearly every cutaneous condition and tumor may develop on the nail unit – frequently the practitioner will find the need to perform a surgical procedure on or around the nail, for either diagnosis or as a part of therapy. Successful surgery requires an understanding of the unique nail anatomy, appropriate surgical consent, complete anesthesia, and often manipulation of the plate and/or nail folds to achieve adequate surgical exposure. When armed with tools that address these issues, nail surgery becomes as straightforward as that on the skin.
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References
Shum C, et al. Examination of the anatomic relationship of the proximal germinal nail matrix to the extensor tendon insertion. J Hand Surg [Am]. 2000;25(6):1114–7.
Sonnex TS, Griffiths WA, Nicol WJ. The nature and significance of the transverse white band of human nails. Semin Dermatol. 1991;10(1):12–6.
De Berker D, Mawhinney B, Sviland L. Quantification of regional matrix nail production. Br J Dermatol. 1996;134(6):1083–6.
Haneke E. Anatomy of the nail unit and the nail biopsy. Semin Cutan Med Surg. 2015;34(2):95–100.
Haneke E. Surgical anatomy of the nail apparatus. Dermatol Clin. 2006;24(3):291–6.
de Berker D. Nail anatomy. Clin Dermatol. 2013;31(5):509–15.
Walsh ML, Shipley DV, de Berker DA. Survey of patients’ experiences after nail surgery. Clin Exp Dermatol. 2009;34(5):e154–6.
Ingram GJ, Scher RK, Lally EV. Reflex sympathetic dystrophy following nail biopsy. J Am Acad Dermatol. 1987;16(1 Pt 2):253–6.
Jellinek NJ, Velez NF. Nail surgery: best way to obtain effective anesthesia. Dermatol Clin. 2015;33(2):265–71.
Chowdhry S, et al. Do not use epinephrine in digital blocks: myth or truth? Part II. A retrospective review of 1111 cases. Plast Reconstr Surg. 2010;126(6):2031–4.
Denkler K. A comprehensive review of epinephrine in the finger: to do or not to do. Plast Reconstr Surg. 2001;108(1):114–24.
Katis PG. Epinephrine in digital blocks: refuting dogma. CJEM. 2003;5(4):245–6.
Krunic AL, et al. Digital anesthesia with epinephrine: an old myth revisited. J Am Acad Dermatol. 2004;51(5):755–9.
Lalonde D, et al. A multicenter prospective study of 3,110 consecutive cases of elective epinephrine use in the fingers and hand: the Dalhousie Project clinical phase. J Hand Surg Am. 2005;30(5):1061–7.
Mann T, Hammert WC. Epinephrine and hand surgery. J Hand Surg Am. 2012;37(6):1254–6. quiz 1257.
Muck AE, et al. Six years of epinephrine digital injections: absence of significant local or systemic effects. Ann Emerg Med. 56(3):270–4.
Thomson CJ, et al. A critical look at the evidence for and against elective epinephrine use in the finger. Plast Reconstr Surg. 2007;119(1):260–6.
Wilhelmi BJ, et al. Do not use epinephrine in digital blocks: myth or truth? Plast Reconstr Surg. 2001;107(2):393–7.
Fulling PD, Peterfreund RA. Alkalinization and precipitation characteristics of 0.2% ropivacaine. Reg Anesth Pain Med. 2000;25(5):518–21.
Becerro de Bengoa Vallejo R, et al. Preoperative skin and nail preparation of the foot: comparison of the efficacy of 4 different methods in reducing bacterial load. J Am Acad Dermatol. 2009;61(6):986–92.
W-Dahl A, Toksvig-Larsen S. Pin site care in external fixation sodium chloride or chlorhexidine solution as a cleansing agent. Arch Orthop Trauma Surg. 2004;124(8):555–8.
Bibbo C, et al. Chlorhexidine provides superior skin decontamination in foot and ankle surgery: a prospective randomized study. Clin Orthop Relat Res. 2005;438:204–8.
Keblish DJ, et al. Preoperative skin preparation of the foot and ankle: bristles and alcohol are better. J Bone Joint Surg Am. 2005;87(5):986–92.
Wolf EW, Hodge W, Spielfogel WD. Periungual bacterial flora in the human foot. J Foot Surg. 1991;30(3):253–63.
Becerro De Bengoa Vallejo R, et al. Efficacy of preoperative and intraoperative skin and nail surgical preparation of the foot in reducing bacterial load. Dermatol Surg. 2010;36(8):1258–65.
Hunter JG, et al. Randomized, prospective study of the order of preoperative preparation solutions for patients undergoing foot and ankle orthopedic surgery. Foot Ankle Int. 2016;37(5):478–82.
Harrington AC, et al. A novel digital tourniquet using a sterile glove and hemostat. Dermatol Surg. 2004;30(7):1065–7.
Lahham S, et al. Comparison of pressures applied by digital tourniquets in the emergency department. West J Emerg Med. 2011;12(2):242–9.
Hart WJ, Wagner W. A simple and fail safe method for digital tourniquet. J Hand Surg Br. 2003;28(2):190. author reply 190.
National Patient Safety Agency, UK. Reducing risks of tourniquets left on after finger and toe surgery. 2009.
Jellinek NJ. Commentary: how much is too much? Tourniquets and digital ischemia. Dermatol Surg. 2013;39(4):593–5.
Cox C, Yao J. Tourniquet usage in upper extremity surgery. J Hand Surg Am. 2012;35(8):1360–1.
Collins SC, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol. 2008;59(4):619–26.
Jellinek NJ. Nail matrix biopsy of longitudinal melanonychia: diagnostic algorithm including the matrix shave biopsy. J Am Acad Dermatol. 2006. in press (accepted).
de Berker DAR. Trap door nail avulsion to minimise trauma in nail surgery when accessing the nail bed and matrix. Br J Dermatol. 2006;155(s1):100.
Kang BS, Na YC, Jin YW. Comparison of the wound healing effect of cellulose and gelatin: an in vivo study. Arch Plast Surg. 2012;39(4):317–21.
Abimelec P, Dumontier C. Basic and advanced nail surgery (Part 2: Indications and Complications). In: Scher RK, Daniel CR, editors. Nails: diagnosis, therapy, surgery. Elsevier Saunders; 2005. p. 291–308.
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Jellinek, N.J., Damavandy, A., Etzkorn, J.R., Sobanko, J.F., Shin, T.M., Miller, C.J. (2018). Nail Surgery Overview and Approach. In: Rubin, A.I., Jellinek, N.J., Daniel, C.R., Scher, R.K. (eds) Scher and Daniel’s Nails. Springer, Cham. https://doi.org/10.1007/978-3-319-65649-6_33
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DOI: https://doi.org/10.1007/978-3-319-65649-6_33
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