Details

Autor(en) / Beteiligte

• Li, Fang
• Jiang, Jia‐yi
• Huang, Shu‐dai
• Liu, Meng‐xi
• Wang, Xiao‐qing
• Wong, Hoi Shiwn
• Wang, Da‐guang

Titel

Comparative efficacy of different reconstruction methods after wide local excision of the nail unit: A retrospective study

Ist Teil von

• Journal of the European Academy of Dermatology and Venereology, 2023-12, Vol.37 (12), p.2583-2588

Erscheinungsjahr

2023

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Background Wide local excision (WLE) of the nail unit is widely used in treating in situ and minimally invasive malignant subungual tumours. After WLE, diverse reconstruction methods have been reported. However, the best repair method has yet to be determined. Objective To compare the repair effects and postoperative morbidity of secondary intention healing (SIH), artificial dermis grafting combined with secondary intention healing (ADGSIH) and full‐thickness skin grafting (FSG) after WLE of the nail unit. Methods We retrospectively reviewed 21 patients who underwent WLE of the nail unit. The re‐epithelializing time, functional and cosmetic outcomes, postoperative complications and patients' satisfaction were assessed from the follow‐up records. Results The FSG group showed more rapid healing and better functional and cosmetic outcomes than the SIH and ADGSIH groups. The ADGSIH and FSG groups showed significant pain relief compared to the SIH group. No serious early and late postoperative complications were reported. The median follow‐up period was 26 months, and no recurrence was observed. All patients were satisfied with the treatment. Conclusions FSG after the WLE of the nail unit is a therapeutic option with convenient application, significant pain relief, rapid recovery and satisfying functional and cosmetic outcomes.