SURGICAL NAIL PATHOLOGY: NOSOLOGICAL FORMS, SOME ETIOPATHOGENETIC ASPECTS OF THE COMPLEX TREATMENT

Subungual panaritium and retronychia usually arise when contaminated with the most common pathogens of purulent infection, sometimes associated with mycotic flora. The addition of etiopathogenetic factors to the background of the comorbid pathology determined the deformation, incarnations and polyetiological complications. The mycotic-associated pathology with the destruction of nails and subonychial structures, which can be complicated by osteomyelitis, requires the use of surgical resections or onychectomy. In some complicated cases of destructive onychomycosis, with the use of combined antimycotic therapy, removal of a changed nail and sanation of pathological changes of the nail bed is shown.