nail extraction

NAIL EXTRACTION

Definition

• The removal of nail from the nail bed for medical purposes.

Indication

• Infection onychomycosis (fungal infection)• Self mutilation onychocryptosis (ingrown

nail) onychogryposis ( deformed, curved nail)• Chronic recurrent paronychia (inflamation of

nailfold) • Tumor• Trauma

Contraindication

• Allergic to locl anethetics• Bleeding diathesis

TYPE OF Anesthesia

• Local ring block• General anesthesi

Technique• Scrub and drape the finger in a sterile fashion• Administer local anesthetics to ring block the finger • Wait till 5 – 10 minutes to confirm anesthesia• Use a straight hemostat to firmly secure a finger torniquet around the

base of the finger• Insert the blades of curved iris scissors or small periosteal elevator

beneath the free edge of the nail (hyponychium) gently open and close the iris scissors blades or gently press the nail bed

with the small periosteal elevator advance poximally in between the nail plate and nail bed until the

instrument reaches the nail fold• Once the nail is sufficiently separated from the nail bed, it is gently

removed by applying firm and steady distal traction using a hemostat

Complication

• Bleeding• Infection• Nail bed injury• Nail matrix injury