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On the development of surgical techniques for the treatment of onychocryptosis – Answer
Han Ma
Department of Dermatology, Guangdong Provincial Key, Laboratory of Biomedical Imaging, Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong Province, China
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"Ma" "email" => array:1 [ 0 => "mhan@mail.sysu.edu.cn" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Dermatology, Guangdong Provincial Key, Laboratory of Biomedical Imaging, Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong Province, China" "identificador" => "aff0005" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I am very pleased with the attention given to my article<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. As mentioned in the table of the correspondence,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> there are numerous surgical techniques for onychocryptosis. In the first paragraph of my article, I have cited the literature<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> to emphasize that all the surgical strategies can be categorized into two main approaches: either narrowing the nail plate or debulking the soft tissues. And I have chosen the first one.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The key point to narrow the nail plate is to destroy the corresponding part of the nail matrix completely. Treatments include surgery, electrocautery, and chemicals, etc. The most assured is the surgical excision. There are clear points and lines of reference in every step of the surgical approach I proposed. In the discussion, I emphasized that Step 4 is the most important procedure to avoid recurrence. I was very careful to cut off all the tissue around the corresponding part of the nail matrix in all my 67 patients. And there are still two suggestions: 1) to see the white phalanx; 2) to perform a little wedge-shaped resection. As a result, I am very confident to guarantee low recurrence or even no recurrence after surgery.</p><p id="par0015" class="elsevierStylePara elsevierViewall">I have propagated my technique in more than fifteen hospitals in southern China. Most dermatologists only need to observe and listen once to achieve results similar to mine. Even so, with the established method, there may be a few differences in the final recurrence rate among different doctors.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0020" class="elsevierStylePara elsevierViewall">This was supported by <span class="elsevierStyleGrantSponsor" id="gs1">Zhuhai Science and Technology Plan Medical and Health Project</span> (<span class="elsevierStyleGrantNumber" refid="gs1">ZH2202200003HJL</span>).</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Author contributions</span><p id="par0025" class="elsevierStylePara elsevierViewall">Han Ma: Approval of the final version of the manuscript; design and planning of the study; drafting and editing of the manuscript; collection, analysis, and interpretation of data; effective participation in research orientation; intellectual participation in the propaedeutic and/or therapeutic conduct of the studied cases; critical review of the literature; critical review of the manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Author contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-04-30" "fechaAceptado" => "2021-05-04" "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article: Ma H. On the development of surgical techniques for the treatment of onychocryptosis – Answer. An Bras Dermatol. 2021;96:653.</p>" ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Department of Dermatology, the Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Província de Guangdong, China.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Six steps to standardize surgical approach for ingrown toenail" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Man" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.abd.2020.04.012" "Revista" => array:6 [ "tituloSerie" => "An Bras Dermatol" "fecha" => "2021" "volumen" => "96" "paginaInicial" => "47" "paginaFinal" => "50" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33288367" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Considerations on the development of surgical techniques for the treatment of onychocryptosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.C. Miola" 1 => "G.P. Alcantara" 2 => "L.D.B. Miot" 3 => "H.A. Miot" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "An Bras Dermatol" "fecha" => "2021" "volumen" => "96" "paginaInicial" => "651" "paginaFinal" => "653" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical management of ingrown toenails – an update overdue" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. Richert" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1529-8019.2012.01511.x" "Revista" => array:6 [ "tituloSerie" => "Dermatol Ther" "fecha" => "2012" "volumen" => "25" "paginaInicial" => "498" "paginaFinal" => "509" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23210749" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009600000005/v4_202110020832/S0365059621001835/v4_202110020832/en/main.assets" "Apartado" => array:4 [ "identificador" => "81766" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009600000005/v4_202110020832/S0365059621001835/v4_202110020832/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059621001835?idApp=UINPBA00008Z" ]
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