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Treatment typically involves antibiotics for bacterial infections and antifungals for fungal infections. If there is pus formation, incision and drainage may be necessary. [2] Paronychia is commonly mistakenly used interchangeably with herpetic whitlow or felon, which are distinct conditions. [2]
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
A whitlow or felon is an infection of the tip of the finger. [ 1 ] [ 2 ] [ a ] Herpetic whitlow and melanotic whitlow (subungual melanoma) are subtypes that are not synonymous with the term felon . A felon is an "extremely painful abscess on the palmar aspect of the fingertip". [ 6 ]
A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure.Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery.
Subungal haematoma of the fourth finger: Specialty: Internal medicine, Podiatry: Symptoms: Discoloration of nail, pain: Risk factors: Poorly fitting foot wear, overtraining particularly hiking and running: Treatment: Usually unmerited, blood drainage or nail removal in serious cases: Prognosis: Usually self-resolving as nail grows out
The purpose of the procedure is to prevent re-growth where the matrix was cauterized. After the procedure, the nail is slightly narrower (usually one millimeter or so) and is barely noticeable a year later. The surgery is advantageous because it can be performed in the doctor's office under local anesthesia and recovery time is minimal.
Frequently it is put in place by a surgeon after a procedure is complete to prevent the area from accumulating fluid, such as blood, which could serve as a medium for bacteria to grow in. In podiatry , a Penrose drain is often used as a tourniquet during a hallux nail avulsion procedure or ingrown toenail extraction.
Rongeur. A rongeur is heavy-duty surgical instrument with a sharp-edged, scoop-shaped tip, used for gouging out bone.Rongeur is a French word meaning rodent or 'gnawer'. [1] A rongeur can be used to open a window in bone, often in the skull, in order to access tissue underneath.