Document Detail

Digital block with and without epinephrine during chemical matricectomy with phenol.
MedLine Citation:
PMID:  20698866     Owner:  NLM     Status:  MEDLINE    
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.
H Cevdet Altinyazar; Cengiz Bekir Demirel; Rafet Koca; Mübin Hosnuter
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  36     ISSN:  1524-4725     ISO Abbreviation:  Dermatol Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2010-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1568-71     Citation Subset:  IM    
Copyright Information:
© 2010 by the American Society for Dermatologic Surgery, Inc.
Department of Dermatology, Zonguldak Karaelmas University, Zonguldak, Turkey.
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MeSH Terms
Follow-Up Studies
Middle Aged
Nails, Ingrown / surgery*
Nerve Block / methods*
Phenols / therapeutic use*
Postoperative Care
Treatment Outcome
Young Adult
Reg. No./Substance:
0/Phenols; 51-43-4/Epinephrine
Comment In:
Dermatol Surg. 2010 Oct;36(10):1572   [PMID:  20698863 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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