ONYCHOCRYPTOSIS

Abstract

Onychocryptosis, commonly known as an ingrown toenail, is a prevalent nail disorder characterized by pain, inflammation, and potential infection resulting from the penetration of the nail plate into surrounding soft tissue. This case report describes a 54-year-old male who presented with a 10-day history of pain, swelling, and erythema along the lateral border of the right great toe. Clinical examination revealed edema, tenderness, and purulent discharge, consistent with stage II (infection stage) Onychocryptosis. Although initial conservative management, including local care and patient education, was considered, persistent symptoms necessitated definitive intervention. The patient subsequently underwent partial nail avulsion combined with Phenol Matricectomy. Postoperative outcomes were favorable, with marked resolution of infection, alleviation of symptoms, and restoration of normal function. No recurrence was observed during follow-up. This case underscores the critical role of podiatrists in accurate diagnosis, appropriate staging, and timely selection of treatment strategies. It also highlights Phenol Matricectomy as a safe, minimally invasive, and highly effective procedure with low recurrence rates for managing moderate to severe Onychocryptosis.