Document Detail

Honey dressing versus paraffin tulle gras following toenail surgery.
MedLine Citation:
PMID:  16550669     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Anecdotal reports suggest that certain honey dressings have a positive effect on wound healing. However, there is limited empirical evidence supporting its use. This double-blind randomised controlled trial investigated the effect of a honey dressing on wound healing following toenail surgery with matrix phenolisation. METHOD: Participants (n=100) were randomly assigned to receive either an active manuka honey dressing (n=52) or paraffin-impregnated tulle gras (n=48). The primary outcome was time (days) taken for complete re-epithelialisation of the nail bed. RESULTS: Mean healing times were 40.30 days (SD 18.21) for the honey group and 39.98 days (SD 25.42) for the paraffin tulle gras group. Partial avulsion wounds healed statistically significantly faster (p=0.01) with paraffin tulle gras (19.62 days, SD 9.31) than with the honey dressing (31.76 days, SD 18.8), but no significant difference (p=0.21) was found following total avulsion when comparing honey (45.28 days, SD 18.03.) with paraffin tulle gras dressings (52.03 days, SD 21.3). CONCLUSION: The results suggest that patients may benefit more from paraffin tulle gras dressings than honey dressings following partial toenail avulsion. No statistically significant difference was found for healing times after total toenail avulsion, although the marginal benefit of the honey dressing on these healing times warrants further investigation.
C D McIntosh; C E Thomson
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of wound care     Volume:  15     ISSN:  0969-0700     ISO Abbreviation:  J Wound Care     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-22     Completed Date:  2006-04-26     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9417080     Medline TA:  J Wound Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  133-6     Citation Subset:  N    
Centre for Health and Social Care Research, University of Huddersfield, UK.
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MeSH Terms
Double-Blind Method
Follow-Up Studies
Middle Aged
Nail Diseases / diagnosis,  surgery*
Nails / surgery*
Nails, Ingrown / diagnosis,  surgery
Petrolatum / pharmacology*
Postoperative Care / methods
Time Factors
Wound Healing / drug effects,  physiology*
Reg. No./Substance:
Comment In:
J Wound Care. 2006 Jun;15(6):257; author reply 257   [PMID:  16802561 ]

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

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