Clinical recommendationEvidence ratingReferences
Conservative approaches for the treatment of ingrown toenails without infection include placing a cotton wisp, dental floss, or gutter splint (with or without acrylic nail) under the ingrown nail edge.C12
Oral antibiotics before or after phenolization do not decrease healing rates or postprocedure morbidity in the treatment of ingrown toenails.B1
Partial nail avulsion followed by phenolization or direct surgical excision of the nail matrix are equally effective in the treatment of ingrown toenails.B16
Compared with surgical excision of the nail without phenolization, partial nail avulsion combined with phenolization is more effective at preventing symptomatic recurrence of ingrown toenails, but has a slightly increased risk of postoperative infection.B8