TREATMENT OF DESTRUCTIVE SEX AND ONYCHOMYCOSIS WITH SECONDARY INCARNATION OF NAILS

Zlobina Ekaterina Alexandrovna

Various clinics and studies on the current state of the problem of surgical onychopathology, in particular nail ingrowth, approves the main clinical options, etiological factors and pathogenetic links, basic methods of complex treatment. The scientific novelty of this problem lies in the fact that “surgical pathology of the nail " stands out as a new direction of purulent surgery and dermatosurgery, new information has been obtained about various pathogenetic mechanisms of isolated and combined onycheal lesions with the isolation of specific clinical and morphological variants of pathology of nails, paronychia and sub-nail tissues. Dermatophytes infecting the nail matrix determine dystrophic changes, hyperkeratinization of nails, polyonychomycosis, the occurrence of subungual hyperkeratosis and dermatophytomas; mycotic surgical pathology and deformities of nails, which are complicated by secondary ingrowth into the eponychium. The most effective dermatological methods are systemic antimycotic pulse therapy with itraconazole or terbinafine; the use of antimycotic liniments in the postoperative period, which is especially shown in the complex treatment of destructive polyonychomycosis, including combined cases with others. Complex treatment of purulent onycheal pathology includes surgical resection or removal of the nail, necrectomy, opening and drainage of purulent foci, rehabilitation of soft tissue lesions, conservative treatment of mycosis and concomitant lesions.

Keywords:gender and onychomycosis, nail incarnation, treatment, surgery, research