Ingrown Toenail Management Across Mental Health and Other Health Facilities in Nigeria: A Review of Anesthetic and Surgical Management
David Chibututu Nwobu *
Wellspan York Hospital, PA, USA.
Evaristus Chino Ezema
One Brooklyn Health, Brooklyn, NY, USA.
Tricia Okoye
Ambrose Alli University, Ekpoma, Nigeria.
Amogechukwu Onyinye Ugwu
University of Nigeria, Nsukka, Nigeria.
Ogochukwu Agazie
College of Medicine, University of Lagos, Nigeria.
Ifeatu Ogochukwu Oranusi
Department of Anesthesia, Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.
Eliakim Hilkiah
Department of Anesthesia, Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria.
Emmanuel Chiebuka
Kettering Health Network, Ohio, USA.
John Mmadubuchi
University of Nigeria, Enugu Campus, Enugu, Nigeria.
Chinenye Loveth Aleke
Department of Physiotherapy, Federal Medical Center, Makurdi, Benue State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: The management of ingrown toenails in Nigeria is notably underdeveloped, posing potential challenges for patients in mental health facilities and beyond. Addressing this issue requires an interdisciplinary approach and collaboration with other healthcare professionals. Furthermore, there is an important need for a comprehensive review of the treatment guidelines for the anesthetic and surgical techniques utilized in its treatment to improve the quality of patient care.
Methods: We employed a structured narrative approach to identify and review available articles on ingrown toenail management in mental health and other health facilities in Nigeria. We aimed to evaluate the anesthetic and surgical techniques utilized in managing these patients.
Results: No documented treatment for ingrown toenails was identified among patients in mental health facilities across Nigeria. While various surgical techniques are employed for management in other health facilities, the specific anesthesia techniques utilized are unclear.
Conclusions: A unified management protocol and guideline for ingrown toenails and developing podiatry training in Nigeria are imperative. Developing and implementing an effective treatment protocol improves the quality of care and widens coverage for all patients. In addition, establishing podiatry training across educational facilities could bridge this gap in ensuring optimal care for these patient populations.
Keywords: Anesthesia, ingrown, mental, Nigeria, surgical, toenails