Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2026
Nail Splints to Prevent Dorsal Pterygium After Nail Surgery: Indications and Optimal Selection.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Ken Kimberly M, Deng Elen, Rubin Adam I
Аннотация
BACKGROUND: After trauma or a variety of nail surgical procedures, there is potential for nail unit epithelium to directly contact dermal connective tissue, putting the nail unit at risk for a bridging scar and resulting dorsal pterygium. To prevent a dorsal pterygium, a variety of materials, including the native nail, have been proposed to splint the proximal nail fold (PNF) and nail matrix (NM).
OBJECTIVE: To review the indications, materials, and techniques for intraoperative nail splinting during nail unit surgery.
MATERIALS AND METHODS: A comprehensive review of nail splints was conducted in PubMed and OVID Medline.
RESULTS: There are a variety of materials that can be utilized to splint the PNF and NM with various securing techniques. Ideally, this is done with the native nail plate; however, if the native nail plate is unavailable, one can utilize a synthetic nail splint.
CONCLUSION: If there is trauma or surgery to the nail unit that results in dermal-dermal or dermal-epithelial apposition, it is recommended to splint the sulcus of the PNF from the underlying NM and/or bed during the first 2 to 3 weeks postoperatively. Splinting helps prevent scarring of these opposing tissues and a resulting dorsal pterygium.
OBJECTIVE: To review the indications, materials, and techniques for intraoperative nail splinting during nail unit surgery.
MATERIALS AND METHODS: A comprehensive review of nail splints was conducted in PubMed and OVID Medline.
RESULTS: There are a variety of materials that can be utilized to splint the PNF and NM with various securing techniques. Ideally, this is done with the native nail plate; however, if the native nail plate is unavailable, one can utilize a synthetic nail splint.
CONCLUSION: If there is trauma or surgery to the nail unit that results in dermal-dermal or dermal-epithelial apposition, it is recommended to splint the sulcus of the PNF from the underlying NM and/or bed during the first 2 to 3 weeks postoperatively. Splinting helps prevent scarring of these opposing tissues and a resulting dorsal pterygium.