Gutter Splint Toenail

Thoroughly rinse with 70 isopropyl alcohol or saline to. Tuck the cotton into the nail sulcus gently tucking it under the lateral free edge of the nail. The purpose of splinting is to prevent the toenail from growing back into the lateral nail fold.

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Often simple elevation of the nail out of the lateral nail fold under digital block anesthesia is all that is needed to treat a paronychia.

Gutter splint toenail.

Apply 10 sodium hydroxide with a cotton tipped applicator. This will keep the nail lifted during subsequent growth. Vigorously rub on the lateral horn of the nail matrix for. This method requires anesthesia.

A conservative method to gutter splint ingrown toenails methods. A total of 26 gutters were placed in 17 patients with ingrown nails of the first. This assumes a relatively mild to moderate case. In the classic gutter splint method the ingrown edge of the nail plate is freed up to the extreme proximal part and then splinted using a gutter.

Herein we describe a more conservative gutter technique that is less traumatic and does not require anesthesia. Roll a 2 3 cm wisp of cotton saturated with alcohol to form a cylinder. Excise nail sulcus using the tip of a curved hemostat to provide space. In an ingrown toenail the ingrown part of the nail plate is floating over the.

Results. Conservative approaches for the treatment of ingrown toenails without infection include placing a cotton wisp dental floss or gutter splint with or without acrylic nail under the ingrown nail. Prevent contact with surrounding structures because more extensive damage could occur and wound healing could be delayed.