Surgical treatment of ingrown toenails

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Surgical treatments of ingrown toenails include a number of different options. If conservative treatment of a minor ingrown toenail does not succeed or if the ingrown toenail is severe, surgical management by a podiatrist is recommended. The initial surgical approach is typically a partial avulsion of the nail plate, known as a wedge resection, or a complete removal of the toenail. If the ingrown toenail recurs despite this treatment, destruction of the germinal matrix with phenol is recommended. As an alternative, one may use 10% sodium hydroxide which is less toxic or trichloroacetic acid which may give faster healing time. Antibiotics typically are not needed when surgery is performed.

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