Digital Block With and Without Epinephrine During Chemical Matricectomy with Phenol

BACKGROUND Digital block with epinephrine is safe in selected patients. Chemical matricectomy with phenol is a successful, cheap, and easy method for the treatment of ingrown nails. OBJECTIVE To determine the effect of digital block with epinephrine in chemical matricectomy with phenol. MATERIAL AND...

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Bibliographic Details
Published in:Dermatologic surgery 2010-10, Vol.36 (10), p.1568-1571
Main Authors: ALTINYAZAR, H. CEVDET, DEMIREL, CENGIZ BEKIR, KOCA, RAFET, HOSNUTER, MÜBIN
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Chemexfoliation
Dermatology
Epinephrine
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Nails, Ingrown - surgery
Nerve Block - methods
Phenols - therapeutic use
Postoperative Care
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Young Adult
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Summary:BACKGROUND Digital block with epinephrine is safe in selected patients. Chemical matricectomy with phenol is a successful, cheap, and easy method for the treatment of ingrown nails. OBJECTIVE To determine the effect of digital block with epinephrine in chemical matricectomy with phenol. MATERIAL AND METHODS Forty‐four patients with ingrown toenail were randomly divided into two groups. The plain lidocaine group (n=22) underwent digital anesthesia using 2% plain lidocaine, and the lidocaine with epinephrine group (n=22) underwent digital anesthesia with 2% lidocaine with 1:100,000 epinephrine. In the postoperative period, the patients were evaluated for pain, drainage, and peripheral tissue destruction and were followed for up to 18 months for recurrence. RESULTS The mean anesthetic volume used in the epinephrine group (2.2±0.4 mL) was significantly lower than the plain lidocaine group (3.1±0.6 mL). There was no statistically significant difference in postoperative pain and recurrence rates, but duration of drainage was significantly shorter in the epinephrine group (11.1±2.5 days) than in the plain lidocaine group (19.0±3.8 days). CONCLUSION Digital block with epinephrine is safe in selected patients, and epinephrine helps to shorten the postoperative drainage period. The authors have indicated no significant interest with commercial supporters.
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2010.01681.x