Complications of sodium hydroxide chemical matrixectomy: nail dystrophy, allodynia, hyperalgesia

J Am Podiatr Med Assoc. 2014 Nov;104(6):649-51. doi: 10.7547/8750-7315-104.6.649.

Abstract

Ingrown toenails are seen most commonly in young adults, and they can seriously affect daily life. Partial nail avulsion with chemical matrixectomy, generally by using either sodium hydroxide or phenol, is one of the most effective treatment methods. Known complications of phenol matrixectomy are unpredictable tissue damage, prolonged postoperative drainage, increased secondary infection rates, periostitis, and poor cosmetic results. To our knowledge, there have been no reports about the complications related to sodium hydroxide matrixectomy. Herein, we describe three patients who developed nail dystrophy, allodynia, and hyperalgesia after sodium hydroxide matrixectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Caustics / adverse effects*
  • Female
  • Humans
  • Hyperalgesia / chemically induced*
  • Male
  • Nails, Ingrown / complications
  • Nails, Ingrown / diagnosis
  • Nails, Ingrown / therapy*
  • Sodium Hydroxide / adverse effects*

Substances

  • Caustics
  • Sodium Hydroxide