Table 2.

Treatment options for onychogryphosis

Therapy	Methods
Conservative treatment (nonsurgical)	Dual-action nail nippers, mechanical burs, and drills for mechanical debridement of the nail
Simple nail avulsion without matricectomy	Blunt dissection after chemical avulsion
Nail avulsion with matricectomy	Chemical ablation (phenolization) Cold steel Zadik procedure Electrosurgery CO2 laser
Nail avulsion with matricectomy with V-Y advancement flap	Triangular flap designed with the apex at the distal interphalangeal crease and the base at the edge of the lesion
Syme method	One-half of the terminal phalanx is excised together with the nail fold