Subungual exostosis treated with an in situ thin split-thickness toenail bed graft.

Abstract

Subungual exostosis is a slow-growing, benign outgrowth of normal bone or calcified cartilaginous remains of the distal phalanx. Complete surgical excision of lesions, including the cartilaginous cap, is a unique curative method. An 18-year-old male presented with a protruding papule on the right great toenail. Diagnosis of subungual exostosis had been established and complete excision was performed. In addition, an in situ thin split-thickness toenail bed graft was used to cover the defect. At 6 months after excision, the patient had no complaint of recurrence or pain. We report on a unique trial case of subungual exostosis treated with thin split-thickness nail bed grafts taken from the adjacent normal nail bed of the affected toe.

• Authors: Chang-Min Choi, Hee-Ryung Cho, Bark-Lynn Lew, Woo-Young Sim
• Journal: Dermatologic therapy (Dermatol Ther) Vol. 24 Issue 4 Pg. 452-4 ( 2011) ISSN: 1529-8019 [Electronic] United States
• PMID: 21910804 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2011 Wiley Periodicals, Inc.

Topics

• Adolescent
• Bone Neoplasms (diagnosis, surgery)
• Exostoses (diagnosis, surgery)
• Humans
• Male
• Nail Diseases (diagnosis, surgery)
• Nails
• Osteochondroma (diagnosis, surgery)
• Plastic Surgery Procedures (methods)
• Tissue Transplantation (methods)
• Toes
• Treatment Outcome