Exposure of Nail Matrix and Proximal Nail Fold
- Discussion:
- insert the freer elevator under the nail fold for nail proctection;
- make two full thickness tangential incisions laterally and proximally
starting and the proximal-lateral borders of the nail fold;
- retract the flap w/ skin hooks, to expose the matrix;
- note: this technique may damage the dorsal germinal matrix, which
can result in iatrogenic damage to the nail bed;
- hence, keep a high threshold for this type of exposure;
Original Text by Clifford R. Wheeless, III, MD.
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