par Lecerf, Pauline 
Référence Onychomycosis: Diagnosis and Effective Management, wiley, page (146-149)
Publication Publié, 2018-01
Référence Onychomycosis: Diagnosis and Effective Management, wiley, page (146-149)
Publication Publié, 2018-01
Partie d'ouvrage collectif
| Résumé : | Nail drilling facilitates the penetration and diffusion of a topical antifungal. Multiple factors, such as the slow growth of the nail plate and an impaired vascularization, may affect the bioavailability of oral and topical antifungal drugs and lead to prolonged duration of drug therapy. Current onychomycosis treatment options include oral and topical antifungal agents and different techniques to thin or debride the nail plate. Topical treatments are often preferred by patients or physicians concerned about any complication associated with oral therapy. The debridement of the nail plate aims at reducing the nail plate thickness, which results in an easier penetration of topical medicines. A new emerging technique is nail drilling as an adjunctive treatment for onychomycosis. The chapter discusses some nail drilling techniques: dental drill, lasers, mesoscission or microcutting devices and controlled micro penetration. Nail drilling was also proposed as a method of nail sampling. |
