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Original Article
Online Published: 25 Aug 2016
 


Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches

Fatih Kabakas, Meric Ugurlar, Ismail Bulent Ozcelik, Berkan Mersa, Husrev Purisa, Ilker Sezer.


Abstract
Background: Nail bed deformity and tumor recurrence are the major complications of subungual glomus tumor surgery. Therefore, alternative methods to approach glomus tumors in the hand have been proposed in order to avoid further nail bed injury after surgical treatment.
Methods: In this study, we report a series of 32 patients with glomus tumors in the subungual region of the hand, treated surgically with two different types of incisions. The clinical efficacy and safety of the surgical treatment of glomus tumors performed by the lateral subperiosteal or the transungual approaches were analyzed.
Results: In transungual approach since the nail plate is extracted and the nail bed is incised, there is a high risk of postoperative nail deformity and late recovery. However, in lateral subperiosteal approach since only the skin lateral to the nail is incised without extracting nail plate and incising nail bed, the nail bed injury does not occur.
Conclusion: As a result, early recovery occurs and postoperative nail deformity is unaccepted. The main advantages of lateral subperiosteal approach are reducing postoperative nail deformity and early recovery. However, not every glomus tumor is suitable for lateral subperiosteal approach. In peripherally located tumors, the lateral subperiosteal approach provides quick recovery of the cosmetic appearance and less deformation of the nail.

Key words: glomus tumor; subungual; transungual approach; lateral subperiosteal approach


 
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How to Cite this Article
Pubmed Style

Kabakas F, Ugurlar M, Ozcelik IB, Mersa B, Purisa H, Sezer I. Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand Microsurg. 2016; 5(2): 70-78. doi:10.5455/handmicrosurg.214871

Web Style

Kabakas F, Ugurlar M, Ozcelik IB, Mersa B, Purisa H, Sezer I. Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. https://handmicrosurgeryjournal.com/?mno=214871 [Access: June 27, 2026]. doi:10.5455/handmicrosurg.214871

AMA (American Medical Association) Style

Kabakas F, Ugurlar M, Ozcelik IB, Mersa B, Purisa H, Sezer I. Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand Microsurg. 2016; 5(2): 70-78. doi:10.5455/handmicrosurg.214871


Vancouver/ICMJE Style

Kabakas F, Ugurlar M, Ozcelik IB, Mersa B, Purisa H, Sezer I. Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand Microsurg. (2016), [cited June 27, 2026]; 5(2): 70-78. doi:10.5455/handmicrosurg.214871


Harvard Style

Kabakas, F., Ugurlar, . M., Ozcelik, . I. B., Mersa, . B., Purisa, . H. & Sezer, . I. (2016) Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand Microsurg, 5 (2), 70-78. doi:10.5455/handmicrosurg.214871


Turabian Style

Kabakas, Fatih, Meric Ugurlar, Ismail Bulent Ozcelik, Berkan Mersa, Husrev Purisa, and Ilker Sezer. 2016. Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand and Microsurgery, 5 (2), 70-78. doi:10.5455/handmicrosurg.214871


Chicago Style

Kabakas, Fatih, Meric Ugurlar, Ismail Bulent Ozcelik, Berkan Mersa, Husrev Purisa, and Ilker Sezer. "Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches." Hand and Microsurgery 5 (2016), 70-78. doi:10.5455/handmicrosurg.214871


MLA (The Modern Language Association) Style

Kabakas, Fatih, Meric Ugurlar, Ismail Bulent Ozcelik, Berkan Mersa, Husrev Purisa, and Ilker Sezer. "Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches." Hand and Microsurgery 5.2 (2016), 70-78. Print. doi:10.5455/handmicrosurg.214871


APA (American Psychological Association) Style

Kabakas, F., Ugurlar, . M., Ozcelik, . I. B., Mersa, . B., Purisa, . H. & Sezer, . I. (2016) Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches. Hand and Microsurgery, 5 (2), 70-78. doi:10.5455/handmicrosurg.214871




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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