Phenol-Alcohol Technique

Wikis > Surgery > Nail Procedures > Partial Matricectomies > Phenol-Alcohol Technique

Phenol-Alcohol Technique (P & A):
Widely used “non-invasive” technique – heals by secondary intention.
Regrowth rates vary from 1.5% to 4.5%
Generally not indicated if paronychia is severe

Technique:
• local anaesthesia
• digital tourniquet (excessive bleeding will dilute phenol)
• 3 x 30 second applications of phenol
• rinse with 70-90% isopropyl alcohol
• remains open and draining for 3-4 weeks

Complications:
Phenol burns/flare – burns due to spillage on normal skin – most will heal, ut have an acute inflammatory reaction
Infection -
Delayed healing –
Periostitis – rare
Hypergranulation – need to be removed
Regrowth – usually around 5%

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