Modified shave surgery effective for longitudinal melanonychia

  • Zhou Y & al.
  • J Am Acad Dermatol
  • 28/03/2019

  • Brian Richardson, PhD
  • Clinical Essentials
L'accesso ai contenuti di questo sito è riservato agli operatori del settore sanitario italiano L'accesso ai contenuti di questo sito è riservato agli operatori del settore sanitario italiano

Takeaway

  • Modified shave surgery with the nail window technique led to limited postoperative nail dystrophy and pigmentation recurrence for patients with longitudinal melanonychia (LM).

Why this matters

  • Shave surgery is increasingly recognized as a preferable surgical approach compared with nail matrix surgery.

Key results

  • No patients reported short-term-related complications such as thermal damage of the nail bed or matrix.
  • 75.0% of patients had no postoperative nail dystrophy.
  • 21.7% of patients had mild onychodystrophy.
  • 3.3% of patients developed a severe nail deformity.
  • 13.3% of patients experienced recurrence of nail pigmentation.

Study design

  • 67 patients with LM who underwent shave surgery with the nail window technique were included.
  • Funding: National Natural Science Foundation of China, Natural Science Foundation of Jiangsu Province, Six Talent Peaks of Jiangsu Province.

Limitations

  • Retrospective review.
  • No comparator group.
  • Small patient sample size.