Nail Surgery Overview and Approach

  • Nathaniel J. Jellinek
  • Ali Damavandy
  • Jeremy R. Etzkorn
  • Joseph F. Sobanko
  • Thuzar M. Shin
  • Christopher J. Miller


Nail surgery represents a fundamental subset of dermatologic surgery. Nearly every cutaneous condition and tumor may develop on the nail unit – frequently the practitioner will find the need to perform a surgical procedure on or around the nail, for either diagnosis or as a part of therapy. Successful surgery requires an understanding of the unique nail anatomy, appropriate surgical consent, complete anesthesia, and often manipulation of the plate and/or nail folds to achieve adequate surgical exposure. When armed with tools that address these issues, nail surgery becomes as straightforward as that on the skin.


Nail surgery Avulsion Digital block Anesthesia Nerve block Anatomy Dressings Wound care Informed consent 

Supplementary material

324020_4_En_33_MOESM1_ESM.pdf (32 kb)
Patient Handout (PDF 32 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nathaniel J. Jellinek
    • 1
    • 2
    • 3
  • Ali Damavandy
    • 4
  • Jeremy R. Etzkorn
    • 4
  • Joseph F. Sobanko
    • 4
  • Thuzar M. Shin
    • 4
  • Christopher J. Miller
    • 4
  1. 1.Dermatology Professionals, Inc.East GreenwichUSA
  2. 2.Department of DermatologyThe Warren Alpert Medical School at Brown UniversityProvidenceUSA
  3. 3.Department of DermatologyUniversity of Massachusetts Medical SchoolWorcesterUSA
  4. 4.University of Pennsylvania, Department of DermatologyPhiladelphiaUSA

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