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called inflammation of the cushion surrounding the base of the nail. Contribute to the development of burr disease.
The periungual roller swells, reddens, becomes painful. When pressed, pus is released from under it. The entire roller or only part of it can be involved in the process.
In the early days of the disease, conservative therapy is effective. Used baths, alcohol compresses or re-lubrication with tincture of iodine, chipping antibiotics with novocaine.
With the ineffectiveness of conservative treatment or in the presence of pus, surgical treatment is indicated.
Subungual panaritium is an inflammation that develops under the nail after stab wounds, a splinter, with suppuration of the subungual hematomas. It is manifested by strong tugging pains; an accumulation of pus is clearly visible under the nail. Pressure on the nail causes sharp pain.
Treatment of the subungual panaritium is only surgical. Sometimes it’s enough to remove the splinter so that the inflammatory process is over. To expose the splinter edges, a wedge-shaped excision of the edge of the nail is made. With a small accumulation of pus under the nail, it is trepanized with a scalpel or better with a drill, which ensures the outflow of pus. With a significant or complete detachment of the nail from the bed, its removal is indicated. An ointment dressing is applied to the naked bed.