Surgical pearl: a novel and innovative chemical method for gutter splinting for early stage of ingrown toenails

An ingrown nail is accompanied by recurrent pain and swelling of the lateral nail fold of the great toenail in the active phase of life. It is due to the pressure and penetrative injury of the nail and its spicule on its soft, macerated nail gutter. There are many aggravating factors for ingrown nails. In addition to injury, the embedded nail acts as a foreign body, causing pseudo-pyogenic granuloma formation in the distal part of the nail gutter. If the ingrown nail is not initially treated well, it gives rise to severe disease 1,2. In the severe stage, there is pain and swelling at the site due to secondary bacterial infection and inflammation.