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I am just wondering whether anyone has ever had a case where phenol simply did not work and regrowth occurred repeatedly. Should a patient in that case be referred for sharp excision? or should the procedure be repeated with a longer exposure time to phenol, until it works?
I am just wondering whether anyone has ever had a case where phenol simply did not work and regrowth occurred repeatedly. Should a patient in that case be referred for sharp excision? or should the procedure be repeated with a longer exposure time to phenol, until it works?
Many thanks for any comments.
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Hi,
Just curious, how many % of the phenol do you normally use in your surgery? And how long do you phenolize the nail matrix?
Hi Jp
Yes, I have had two cases in my 3 decades of practice when repeated phenol procedures did not work.
I admit, I had to scratch my head and ended up doing Frost type procedures.
Other than these patients being super heros and thus possibly immune to the effects of phenol, I cannot explain this.
Steve
__________________
DrSArbes
Fellow American College of Foot & Ankle Surgeons
Board Certified Foot & Ankle Surgery, ABPS
Adjunct Professor OCPM
Green Bay, Wisconsin, USA
The Following User Says Thank You to drsarbes For This Useful Post:
Hi Jp,
This will be my 23rd year in practice.
I've had 1 person who seemed to be resistant to liquid phenol. A healthy 17yo young lady. I remember her distinctly, as I could never work out why. Both hallux, both sulcus.
She ended up having a sharp resection procedure.
As for increasing the exposure time to phenol, I don't think this will make much difference. I remember speaking to a surgical colleague who felt that liquid phenol's performance diminished after about 30 secs. He was of the opinion that there was very little tissue destruction after this.
For the record, I do 3 applications with a minimum of 45secs each.
MF
The Following User Says Thank You to marjfra For This Useful Post:
PNA Phenolisation and Regrowth
Linear Mode
