Clean and simple INGROWN TOENAIL procedure PART 2
ฝัง
- เผยแพร่เมื่อ 30 พ.ค. 2024
- Welcome to part 2 of the two part series of treating an ingrown toenail with a partial nail avulsion and phenolisation. If you haven't seen the first part, or want to watch an uninterrupted video of the procedure in full, watch it here: • Clean and Simple INGRO...
A partial nail avulsion is a simple way that podiatrists treat ingrown toenails. The toe receives local anaesthetic injections, the side of nail removed, and phenol applied to the root to stop that section of nail growing back. The gap naturally closes and wound heals in a few weeks.
This 2nd part video is a detailed walkthrough of the procedure and showing you a close up of all the instrumentation used.
LINKS
*Reilly, Ian. (2019). Continuing Professional Development. Nail Surgery. *
www.researchgate.net/publicat...
@IanReillyPodsurgeon
Does Needle Size Matter?
DOI: 10.1177/193229680700100517
www.ncbi.nlm.nih.gov/pmc/arti...
Alcohol plus chlorhexidine is more efficient than alcohol alone for phenol-based chemical matricectomy: an in vitro study
DOI: 10.1111/dsu.12236
pubmed.ncbi.nlm.nih.gov/23639...
Enhanced removal of phenol with saline solution over alcohol: an in vitro study
DOI: 10.1111/j.1524-4725.2012.02459.x
pubmed.ncbi.nlm.nih.gov/22861...
*Enhanced Removal of Phenol With Lidocaine
vs Alcohol*
DOI:10.1001/jamadermatol.2016.5244
pubmed.ncbi.nlm.nih.gov/28249...
0:00 - Intro
0:35 - Help my mission
1:12 - Ingrown toenail presentation
1:36 - Needles for injection
2:17 - Nerves of a toe
2:38 - Injection of local anaesthesia
3:15 - Test toe is numb
3:38 - Instruments to test sensation
4:04 - Is any sensation detected?
4:14 - Clean toe again
4:38 - Touniquet
4:52 - Why use a tourniquet?
5:26 - Nail elevator
5:59 - Thwaites nippers
6:22 - Art form to cutting
6:50 - 2 cuts or chisel blade?
7:17 - Minimise trauma of procedure
7:37 - Inspect the cut
7:50 - Remove with forceps and inspect
8:20 - Phenol
8:45 - Phenolisation time
9:26 - Dilution of phenol
10:28 - Removing tourniquet
11:03 - Dressing
11:28 - Outro and thank you!
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The video content is the view and opinion of the creator and is made available for informational and educational purposes. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider. Never disregard professional health care advice or delay in seeking it because of something you have read or seen on this channel.
#partialnailavulsion #nailsurgery #ingrown_toenail_surgery
Is the injection very painful? What do you do for nervous / needle phobic patients?
It's hard to predict how much pain someone will experience with the injection. The needle is usually fine, but the local anaesthetic is a different pH to our body tissues, so it stings as you inject it. Surprisingly, some patients love watching the whole thing, but I would normally lay patients back for the injection. Sometimes, they can hold the nurses hand if they are anxious, but I don't think I have had a patient who can not tolerate the discomfort. The ingrown nail is usually painful, so relatively the injection is usually not that bad. Thanks for the comment! 🫶
You look beautiful! And I have an ingrown toenail right now so I feel so uncomfortable :(
☺️ you're too kind. Hope you have gone to see your local podiatrist! 🙌
@@thelondonpodiatrist OH MY YOU’RE WELCOME! Thanks for giving some advice :D ! You reminded me of my childhood best friend
❤️
@@thelondonpodiatrist 💗
❤ 🎉Thanks
Thanks very much. That's very kind 🙏
"If I am using miconazole as a treatment for a fungal infection, can I switch to clotrimazole if miconazole is not available, or is it recommended to continue treatment with the same antifungal throughout? Additionally, can miconazole and clotrimazole be used together alternatively for treating fungal infections? I would greatly appreciate your expert advice on this matter.
Hi! You can switch antifungal creams. In theory, alternating creams should be fine, but I wouldn't recommend it as if you have a skin reaction, you won't know which one is causing it. Terbinafine is also a common cream. Read the labels and check with your pharmacist to check suitability for you as an individual. Thanks for the comment!
@@thelondonpodiatristThanks Doc , apart from causing skin reaction, can using different antifungal creams alternatively contribute to antifungal resistance????
Sorry for the delay, I missed your reply somehow! I have seen some articles indicating increased risk of antifungal resistance with different oral medications but not specifically for creams treating tinea pedis (athletes foot). In theory, though, it sounds possible, so that would be another reason to stick with one cream for, say, a month before considering changing it. Great question! Thanks 🙌🫶
I rather see the video without all the talking
Thanks for the feedback 🙌
I rather you talk less
Thanks for the feedback 🙌