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Cauterization of the germinal nail matrix using phenol applications of 30 or 60": A randomized double-blind clinical trial.

Cauterization of the germinal nail matrix using phenol applications of 30 or 60" in patients with onychocryptosis: A randomized double-blind clinical trial.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619001719123
Acronym
FAP30-60
Enrollment
23
Registered
2019-12-05
Start date
2020-01-08
Completion date
2020-04-30
Last updated
2020-01-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The phenol-alcohol procedure its the gold standard, but it has a long time of recovery. The aim of this study is to show the reduction of the phenolization time to 30 seconds reduces the healing time without affecting the effectiveness of the procedure.

Interventions

The same clinician (Dr. Pedro Montaño Jiménez) carried out all the surgical procedures of the hallux with a duration of 60 minutes. First, a digital blocking of the hallux using 2% of Mepivacaine in subcutaneous injection, after a surgical scrubbing of the operatory field, a digital tourniquet was done for the local hemostasis of the hallux; prior marking with a dermographic pencil of the portion of the nail lamina to be extracted. The nail plate affected was separated from the nail bed and the

The same clinician (Dr. Pedro Montaño Jiménez) carried out all the surgical procedures of the hallux with a duration of 60 minutes. First, a digital blocking of the hallux using 2% of Mepivacaine in subcutaneous injection, after a surgical scrubbing of the operatory field, a digital tourniquet was done for the local hemostasis of the hallux; prior marking with a dermographic pencil of the portion of the nail lamina to be extracted. The nail plate affected was separated from the nail bed and the eponychium with a free hoist. after removing the portion of the nail plate, a swab with a cotton ball soaked in 88% phenol was applied for 30 seconds to the zone of the matrix and the nail bed. This zone was irrigated with 76% ethanol for 1 minute and then with a physiological saline solution. The surgical wounds were covered with a thin layer of sulfadiazine silver cream 1% and after with non-stick absorbent sterile polypropylene. Gauze was placed around the hallux and covered with a sterile compressive bandage.

Sponsors

University of Sevilla
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

Onychocryptosis in stages I or IIa, not having an underlying bone pathology, an indication of partial matricectomy.

Exclusion criteria

To have chronic illnesses, to be pregnant, to be sensitive to phenol, or to have had previous onychocryptosis surgery. Presence of serious circulatory problems, or badly controlled Diabetes, and not having wound healing disorders.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026