• Dermatol Surg · Nov 2003

    Extra-fine insulin syringe needle: an excellent instrument for the evacuation of subungual hematoma.

    • Tamer Irfan Kaya, Umit Tursen, Kiymet Baz, and Guliz Ikizoglu.
    • Department of Dermatology, Mersin University, School of Medicine, 33079 Zeytinlibahce, Mersin, Turkey. tikaya@mersin.edu.tr
    • Dermatol Surg. 2003 Nov 1;29(11):1141-3.

    BackgroundThe most commonly used treatment method for subungual hematoma is nail trephining, which has some disadvantages.ObjectiveTo introduce a very simple and well-tolerated treatment technique for this common problem.MethodsWe used an extra-fine, 29-gauge insulin syringe for evacuation. We inserted the needle very close to the nail plate to minimize pain. We drained the blood from the hyponychium under the nail plate using this extra-fine needle.ResultsThe technique described herein is very fast and simple, and the patients tolerate it well. It is particularly successful for the treatment of smaller subungual hematomas of the second, third, and fourth toenails, in which the trephining is harder.ConclusionFor these reasons, we suggest this technique as a practical alternative to the traditional nail trephining methods.

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