%0 Journal Article
%T The Impact of Subungual Osteochondroma Deformans on Severely Mycotic Toenails
%A Christopher Brian Stewart
%A Maryellen Ann Waltz
%J Journal of Cosmetics, Dermatological Sciences and Applications
%P 56-65
%@ 2161-4512
%D 2019
%I Scientific Research Publishing
%R 10.4236/jcdsa.2019.91005
%X <span style=\"font-family:Verdana;\">Background: We examined 94 toenails exhibiting clinical signs of severe onychomycosis taking into account multiple contributing factors</span><span style=\"font-family:Verdana;\">,</span><span style=\"font-family:Verdana;\"> not the least of which </span><span style=\"font-family:Verdana;\">was</span><span style=\"font-family:Verdana;\"> Subungual Osteochondroma Deformans (SOD). We hypothesize that SOD plays a significant role in both the etiology and
treatment of onychomycosis. Methods/Results: A retrospective post-treatment outcome analysis was performed comparing two groups of severely mycotic toenails. The first group of 25 fungal nails showed 54.31% improvement following treatment by both surgical nail avulsion and a 1064 YAG laser-based Nail Restoration algorithm. The second group of 69 fungal nails was not only treated using the same nail a</span><span style=\"font-family:Verdana;\">vulsion/laser-based algorithm but</span><span style=\"font-family:Verdana;\"> was</span><span style=\"font-family:Verdana;\"> also evaluated for SOD lesions which were surgically removed when present, resulting in 95.31% improvement. The overall incidence of SOD lesions in the second group of severely mycotic </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">toenails was 73.91%. Conclusion: We submit that at 73.91% Subungual</span><span style=\"font-family:Verdana;\"> Osteochondroma Deformans has an under-reported</span></span><span style=\"font-family:Verdana;\"> and</span><span style=\"font-family:Verdana;\"> under-appreciate</span><span style=\"font-family:Verdana;\">d association with toenail fungus. Generally, we find that our success rates in treating </span><span style=\"font-family:Verdana;\">severe toenail fungus using our laser-based Nail
Restoration Protocols are </span><span style=\"font-family:Verdana;\">much higher when SOD lesions are surgically removed.</span>
%K Subungual Osteochondroma Deformans
%K Onychomycosis
%K Laser
%K Toenail
%K Topical
%K Surgery
%K Bone Spur
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=91521