How low should you go

Novel device for nail trephination

David H. Ciocon, T. R. Gowrishankar, Terry Herndon, Alexa B. Kimball

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

BACKGROUND: The most commonly used treatment for subungual hematomas is nail trephination, a technique that is not standardized and that poorly controls for trephination depth. OBJECTIVE: The objective was to test the safety and tolerance of a new device for nail trephination that uses innovative "mesoscission" or microcutting technology to create holes of specific depths in the nail plate without penetrating the nail bed. MATERIALS AND METHODS: Fourteen adult subjects with healthy toenails had five holes drilled in a random single-blind fashion at different test settings into their right great toenail with this device and were assessed for pain and pressure tolerance as well as perioperative and postoperative complications. RESULTS: Nail trephination with this device in this small pilot study was controlled and well tolerated. LIMITATIONS: The study population was small (n=14) and the follow-up evaluation relied on patient self-report, which is not always reliable. The follow-up period was only 1 week and did not allow for evaluation of permanent nail plate deformity. CONCLUSION: Mesoscission may be a controlled and practical alternative to traditional nail trephining methods.

Original languageEnglish (US)
Pages (from-to)828-833
Number of pages6
JournalDermatologic Surgery
Volume32
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

Fingerprint

Trephining
Nails
Equipment and Supplies
Hematoma
Self Report
Healthy Volunteers
Technology
Safety
Pressure
Pain

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

How low should you go : Novel device for nail trephination. / Ciocon, David H.; Gowrishankar, T. R.; Herndon, Terry; Kimball, Alexa B.

In: Dermatologic Surgery, Vol. 32, No. 6, 06.2006, p. 828-833.

Research output: Contribution to journalArticle

Ciocon, David H. ; Gowrishankar, T. R. ; Herndon, Terry ; Kimball, Alexa B. / How low should you go : Novel device for nail trephination. In: Dermatologic Surgery. 2006 ; Vol. 32, No. 6. pp. 828-833.
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