What is the best method for ablating the nail plate during surgical treatment of an ingrown toe nail?
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Partial or total nail avulsion followed by chemical matrixectomy with phenol is the preferred method for nail plate ablation for recurrence of ingrown toenails. (SOR: A, based on a systematic review.) However, sodium hydroxide ablation may have equal efficacy. (SOR: B, based on a single RCT.) Cryotherapy, CO2 laser, and radio-wave ablation have less data but are acceptable alternative treatment options. (SOR: C, based on a single RCT, a retrospective case study, and a case series.)
Evidence Based Practice 14(3): 07.