When a trauma or illness damages the nail tissues, a nail excision be required. At Tower Wound Care Center, our doctors are specially trained to provide excisions from their offices in Los Angeles, Encino, and Santa Monica, CA.
The partial or complete surgical removal of a fingernail, toenail, the nail bed, or the fold of skin which covers the side and base of the nail are all referred to as nail excisions. Nails can be subjected to many different types of injuries such as crushing, lacerations and pulling away. Blood can also accumulate beneath the nail after a trauma to the fingertip. Skin diseases including psoriasis, eczema, and chronic itchy skin disease can also affect the nails. Many bacterial, fungal, and viral infections can also cause problems with the nails.
To diagnose or provide treatment of trauma or nail disorders including infections, tumors, a deformity of the nail, and injury this procedure is often the best option. Fungal and bacterial infections which haven’t gotten better with more conservative treatments may require nail removal. For an ingrown toenail, part of the nail fold may also be removed. After a crushing injury or similar trauma, a nail excision is often required. If the nail bed or nail folds have been disrupted by a large amount blood collecting under the nail, excision of the nail might also be required.
Depending on the type and severity of the injury, the surgery may be a bit different. First, the area is cleaned with an antibacterial solution and a local anesthesia is administered. Simple lacerations, or cuts, are fixed with stitches. Broken nails are gently excised from the nail bed using a small surgical instrument called a hemostat. Removal of severely damaged tissue or foreign bodies is then performed. If possible, the excised nail will be placed over the repaired nail bed to act as a splint, offer pain control, and prevent gauze dressings from sticking to the nail bed. For an ingrown toenail, there will be a partial excision and the area will also be cleaned and a local anesthesia provided. The part of the nail to be removed will be released from the nail bed. The affected portion is cut from the nail to be left and is then separated from the bed. A solution or electrocautery is used to stop regrowth of the excised nail.
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