甲单元畸形的外科修复

doi:10.3760/cma.j.issn.0412-4030.2019.09.016

Abstract

Abstract: Nail unit is an important structure for both aesthetic and functional capability of the finger and toe, where any anatomic defect or lesion would lead to the nail deformity. Surgical repair is the main method for the treatment of such deformity. According to the classification of its etiology and anatomy, we can choose appropriate operating method to repair. This paper systematically summarizes the classification of the nail deformity and the corresponding nail repair technique.

Key words: Nail deformity, Surgical repair, Onychology, Nail surgery

Zhou Yuan, Liu Zhenru, Wang Daguang. Surgical repair for deformities of the nail unit[J].Chinese Journal of Dermatology, 2019, 52(9): 660-664.

References ［33］

［1］	Baran R, Haneke E. Etiology and treatment of nail malalignment［J］. Dermatol Surg, 1998,24（7）:719⁃721.
［2］	Rai A, Jha MK, Makhija LK, et al. An algorithmic approach to posttraumatic nail deformities based on anatomical classification［J］. J Plast Reconstr Aesthet Surg, 2014,67（4）:540⁃547. doi: 10. 1016/j.bjps.2014.01.013.
［3］	George A, Alexander R, Manju C. Management of nail bed injuries associated with fingertip injuries［J］. Indian J Orthop, 2017,51（6）:709⁃713. doi: 10.4103/ortho.IJOrtho_231_16.
［4］	Grover C, Bansal S. Nail biopsy: a user′s manual［J］. Indian Dermatol Online J, 2018,9（1）:3⁃15. doi: 10.4103/idoj.IDOJ_268_17.
［5］	Park JH, Lee DY, Kim N. Nail neoplasms［J］. J Dermatol, 2017,44（3）:279⁃287. doi: 10.1111/1346⁃8138.13702.
［6］	Kim YJ, Kim DH, Park JS, et al. Factors affecting surgical outcomes of digital glomus tumour: a multicentre study［J］. J Hand Surg Eur Vol, 2018,43（6）:652⁃658. doi: 10.1177/175319 3418774176.
［7］	Pérez⁃Palma L, Manzanares⁃Céspedes MC, de Veciana EG. Subungual exostosis systematic review and meta⁃analysis［J］. J Am Podiatr Med Assoc, 2018,108（4）:320⁃333. doi: 10.7547/17⁃102.
［8］	Gupta AK, Mays RR. The impact of onychomycosis on quality of life: a systematic review of the available literature［J］. Skin Appendage Disord, 2018,4（4）:208⁃216. doi: 10.1159/000485632.
［9］	Ocampo⁃Garza J, Di CNG, Di CN, et al. Acute transverse overcurvature of the nail due to onychomycosis［J］. J Eur Acad Dermatol Venereol, 2017,31（4）:e202⁃e203. doi: 10.1111/jdv.139 55.
［10］	Kaul S, Singal A, Grover C, et al. Clinical and histological spectrum of nail psoriasis: a cross⁃sectional study［J］. J Cutan Pathol, 2018,45（11）:824⁃830. doi: 10.1111/cup.13334.
［11］	McClanahan DR, English JC. Therapeutics for adult nail psoriasis and nail lichen planus: a guide for clinicians［J］. Am J Clin Dermatol, 2018,19（4）:559⁃584. doi: 10.1007/s40257⁃018⁃0350⁃0.
［12］	Lübbert C, Kunz M. Yellow nail syndrome［J］. Dtsch Arztebl Int, 2017,114（50）:874. doi: 10.3238/arztebl.2017.0874b.
［13］	THV A, CLS N, Consoli RV, et al. Pincer nail in a lupus patient［J］. Lupus, 2017,26（14）:1562⁃1563. doi: 10.1177/0961203317 694258.
［14］	Twigg EV, Weitz NA, Scher RK, et al. Pincer nails in a patient with systemic lupus erythematosus and lupus nephritis: a case report［J］. JAAD Case Rep, 2016,2（3）:233⁃235. doi: 10.1016/j.jdcr.2016.04.001.
［15］	Rodriguez⁃Takeuchi SY, Villota V, Renjifo M. Anatomy and pathology of the nail and subungual space: imaging evaluation of benign lesions［J］. Clin Imaging, 2018,52:356⁃364. doi: 10.1016/j.clinimag.2018.09.002.
［16］	Bellini E, Grieco MP, Raposio E. The science behind autologous fat grafting［J］. Ann Med Surg （Lond）, 2017,24:65⁃73. doi: 10.1016/ j.amsu.2017.11.001.
［17］	Li TS, Choong MY, Wu CI, et al. Autologous fat graft to restore nail bed contour following resection of a subungual glomus［J］. J Hand Surg Am, 2011,36（4）:726⁃728. doi: 10.1016/j.jhsa.2010.12. 009.
［18］	Haneke E. Advanced nail surgery［J］. J Cutan Aesthet Surg, 2011,4（3）:167⁃175. doi: 10.4103/0974⁃2077.91247.
［19］	Choi CM, Cho HR, Lew BL, et al. Subungual exostosis treated with an in situ thin split⁃thickness toenail bed graft［J］. Dermatol Ther, 2011,24（4）:452⁃454. doi: 10.1111/j.1529⁃8019.2011.01440.x.
［20］	Rohard I, Subotic U, Weber DM. Primary reconstruction of fingernail injuries in children with split⁃thickness nail bed grafts［J］. Eur J Pediatr Surg, 2012,22（4）:283⁃288. doi: 10.1055/s⁃0032⁃1313337.
［21］	Hsieh SC, Chen SL, Chen TM, et al. Thin split⁃thickness toenail bed grafts for avulsed nail bed defects［J］. Ann Plast Surg, 2004,52（4）:375⁃379.
［22］	刘少华, 马战备, 于鹤童, 等. 人工真皮修复手指甲床部分缺损［J］. 中华整形外科杂志, 2018,34（11）:955⁃958. doi: 10.3760/cma.j.issn.1009⁃4598.2018.11.016.
［23］	Fiedler DK, Barrett JE, Lourie GM. Nail bed reconstruction using single⁃layer bovine acellular dermal matrix［J］. J Hand Surg Am, 2017,42（1）:e67⁃e74. doi: 10.1016/j.jhsa.2016.10.010.
［24］	Pessa JE, Tsai TM, Li Y, et al. The repair of nail deformities with the nonvascularized nail bed graft: indications and results［J］. J Hand Surg Am, 1990,15（3）:466⁃470.
［25］	Lemperle G, Schwarz M, Lemperle SM. Nail regeneration by elongation of the partially destroyed nail bed［J］. Plast Reconstr Surg, 2003,111（1）:167⁃173. doi: 10.1097/01.PRS.0000037760. 20344.14.
［26］	Zhou X, Wang L, Mi J, et al. Thumb fingertip reconstruction with palmar V⁃Y flaps combined with bone and nail bed grafts following amputation［J］. Arch Orthop Trauma Surg, 2015,135（4）:589⁃594. doi: 10.1007/s00402⁃015⁃2163⁃4.
［27］	Catalfo P, Musumeci ML, Lacarrubba F, et al. Congenital malalignment of the great toenails: a review［J］. Skin Appendage Disord, 2018,4（4）:230⁃235. doi: 10.1159/000484943.
［28］	Topin⁃Ruiz S, Surinach C, Dalle S, et al. Surgical treatment of subungual squamous cell carcinoma by wide excision of the nail unit and skin graft reconstruction: an evaluation of treatment efficiency and outcomes［J］. JAMA Dermatol, 2017,153（5）:442⁃448. doi: 10.1001/jamadermatol.2017.0014.
［29］	Crisan D, Gülke J, Janetzko C, et al. Digit preserving surgery of subungual melanoma: a case series using vacuum assisted closure and full⁃thickness skin grafting［J］. J Eur Acad Dermatol Venereol, 2017,31（12）:e537⁃e538. doi: 10.1111/jdv.14400.
［30］	Zemirline A, Taleb C, Goukodadja O, et al. Vascularized nail transfer from non⁃replantable digit: a case report［J］. Hand Surg, 2014,19（1）:135⁃138. doi: 10.1142/S0218810414720125.
［31］	宋付芳, 王文刚, 刘圣光. （足母）（趾）甲皮瓣再造修复带甲床缺损的手（拇）指软组织缺损［J］. 中华显微外科杂志, 2014,37（6）:590⁃592. doi: 10.3760/cma.j.issn.1001⁃2036.2014.06.019.
［32］	Leclère FM, Schoofs M. Microsurgical nail reconstruction with free short⁃pedicle vascularized nail flap: about 13 cases］［J］. Ann Chir Plast Esthet, 2010,55（1）:1⁃7. doi: 10.1016/j.anplas.2009.05. 008.
［33］	Woo SH, Lee GJ, Kim KC, et al. Immediate partial great toe transfer for the reconstruction of composite defects of the distal thumb［J］. Plast Reconstr Surg, 2006,117（6）:1906⁃1915. doi: 10. 1097/01.prs.0000210011.71759.65.

Surgical repair for deformities of the nail unit

PDF

Like

Knowledge

Abstract

Cite this article

share this article

References ［33］

Related Articles 1

Metrics

Comments

Recommended 10