Ingrown Toenail Management Flashcards
6 cards from real MNT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Ingrown Toenail Management flashcards as text
Nail bracing (orthonyxia) for ingrown toenails works by:
Answer: Using a flexible composite or wire brace to flatten and realign nail curvature over time
Nail braces apply outward force along the nail plate edges, gradually correcting involution and relieving pressure on the nail folds without surgery.
The BS (Basis) brace system for ingrown nails requires the nail to be:
Answer: Clean, dry, and filed smooth on the dorsal surface to ensure adhesion
The BS brace (a composite adhesive brace) requires the nail surface to be clean, dry, and gently filed to maximize adhesion and treatment efficacy.
A patient with recurrent bilateral ingrown toenails despite conservative care is best managed by:
Answer: Referral to a podiatrist for nail matrix phenolization or wedge resection
Chronic or recurring ingrown toenails that fail conservative management require definitive treatment such as partial matrix destruction (phenolization) by a qualified clinician.
Hypergranulation tissue at the lateral nail fold of an ingrown toenail should be:
Answer: Documented, managed with silver nitrate or compression if within scope, and referred if extensive
Hypergranulation tissue can be reduced with silver nitrate application or compression within the technician's scope; extensive or non-resolving cases require medical referral.
Post-procedure instructions after nail edge elevation should include:
Answer: Keep the area clean and dry, change dressing daily, wear wide-toe footwear, and return if signs of infection develop
Proper aftercare prevents infection and promotes healing; breathable dressings, daily inspection, appropriate footwear, and clear infection warning signs optimize outcomes.
The Vandenbos procedure for ingrown toenails differs from partial nail avulsion in that it:
Answer: Excises the excess soft tissue (nail fold) rather than the nail, leaving the nail plate intact
The Vandenbos procedure excises the hypertrophic nail fold tissue that impinges on the nail plate, correcting the problem without altering the nail itself.