Initial treatment should include antibiotic therapy and warm soaks to the affected digit. Antibiotic therapy should be directed toward the offending pathogens, which commonly derive from the skin flora. [13] When onychocryptosis is the underlying etiology, that portion of the nail should be removed to address the soft-tissue reaction. A partial nail avulsion involves removing the border of the ingrown nail. Chronic recurrent paronychias can be treated with a chemical matrixectomy or via local surgical excision.
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