Glomus tumor surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for glomus tumor.<ref name="pmid24470715">{{cite journal| author=Grover C, Khurana A, Jain R, Rathi V| title=Transungual surgical excision of subungual glomus tumour. | journal=J Cutan Aesthet Surg | year= 2013 | volume= 6 | issue= 4 | pages= 196-203 | pmid=24470715 | doi=10.4103/0974-2077.123401 | pmc=PMC3884883 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24470715 }} </ref> | [[Surgery]] is the mainstay of treatment for glomus tumor.<ref name="pmid24470715">{{cite journal| author=Grover C, Khurana A, Jain R, Rathi V| title=Transungual surgical excision of subungual glomus tumour. | journal=J Cutan Aesthet Surg | year= 2013 | volume= 6 | issue= 4 | pages= 196-203 | pmid=24470715 | doi=10.4103/0974-2077.123401 | pmc=PMC3884883 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24470715 }} </ref> | ||
==Surgery== | ==Surgery== | ||
*Surgery is the mainstay of treatment for glomus tumor.<ref name="pmid24470715">{{cite journal| author=Grover C, Khurana A, Jain R, Rathi V| title=Transungual surgical excision of subungual glomus tumour. | journal=J Cutan Aesthet Surg | year= 2013 | volume= 6 | issue= 4 | pages= 196-203 | pmid=24470715 | doi=10.4103/0974-2077.123401 | pmc=PMC3884883 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24470715 }} </ref> | *[[Surgery]] is the mainstay of treatment for glomus tumor.<ref name="pmid24470715">{{cite journal| author=Grover C, Khurana A, Jain R, Rathi V| title=Transungual surgical excision of subungual glomus tumour. | journal=J Cutan Aesthet Surg | year= 2013 | volume= 6 | issue= 4 | pages= 196-203 | pmid=24470715 | doi=10.4103/0974-2077.123401 | pmc=PMC3884883 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24470715 }} </ref> | ||
*Surgical resection may be performed via two approaches:<ref name="pmid15509936">{{cite journal| author=Vasisht B, Watson HK, Joseph E, Lionelli GT| title=Digital glomus tumors: a 29-year experience with a lateral subperiosteal approach. | journal=Plast Reconstr Surg | year= 2004 | volume= 114 | issue= 6 | pages= 1486-9 | pmid=15509936 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509936 }} </ref> | *Surgical resection may be performed via two approaches:<ref name="pmid15509936">{{cite journal| author=Vasisht B, Watson HK, Joseph E, Lionelli GT| title=Digital glomus tumors: a 29-year experience with a lateral subperiosteal approach. | journal=Plast Reconstr Surg | year= 2004 | volume= 114 | issue= 6 | pages= 1486-9 | pmid=15509936 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509936 }} </ref> | ||
**'''Transungual''' | **'''Transungual''' | ||
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***It is then followed by extensive repair of the nail bed. | ***It is then followed by extensive repair of the nail bed. | ||
***The transungual approach is the simplest and gives the best exposure of the nail bed. | ***The transungual approach is the simplest and gives the best exposure of the nail bed. | ||
**'''Lateral subperiosteal''' | **'''Lateral [[subperiosteal]]''' | ||
***An incision is made dorsal to the mid-lateral line. | ***An incision is made dorsal to the mid-lateral line. | ||
***Dissection is performed to the distal phalanx and a dorsal flap consisting of skin, nail plate, nail bed and germinal matrix tissue is elevated in a single layer. | ***Dissection is performed to the distal phalanx and a dorsal flap consisting of skin, nail plate, nail bed and germinal matrix tissue is elevated in a single layer. | ||
**'''Laterodigital Keyser-Littler approach''' | **'''Laterodigital Keyser-Littler approach''' | ||
***This is a high mid-lateral approach from below the paronychial fold. | ***This is a high mid-lateral approach from below the paronychial fold. | ||
***The distal phalangeal ligament (which provides lateral support to the nail matrix and nail plate) is identified and retracted. | ***The distal phalangeal [[ligament]] (which provides lateral support to the nail matrix and nail plate) is identified and retracted. | ||
***The nail matrix is elevated over the ligament and the dorsal cortex of the distal phalanx, followed by resection of the tumor. | ***The nail matrix is elevated over the [[ligament]] and the dorsal cortex of the distal [[phalanx]], followed by resection of the tumor. | ||
<gallery> | <gallery> | ||
Revision as of 03:17, 2 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Surgery is the mainstay of treatment for glomus tumor.[1]
Surgery
- Surgery is the mainstay of treatment for glomus tumor.[1]
- Surgical resection may be performed via two approaches:[2]
- Transungual
- The nail plate is removed and an incision is made on the nail bed.
- The nail bed is elevated to expose the tumor adequately for removal.
- It is then followed by extensive repair of the nail bed.
- The transungual approach is the simplest and gives the best exposure of the nail bed.
- Lateral subperiosteal
- An incision is made dorsal to the mid-lateral line.
- Dissection is performed to the distal phalanx and a dorsal flap consisting of skin, nail plate, nail bed and germinal matrix tissue is elevated in a single layer.
- Laterodigital Keyser-Littler approach
- This is a high mid-lateral approach from below the paronychial fold.
- The distal phalangeal ligament (which provides lateral support to the nail matrix and nail plate) is identified and retracted.
- The nail matrix is elevated over the ligament and the dorsal cortex of the distal phalanx, followed by resection of the tumor.
- Transungual
-
![Surgical extraction of a glomus tumor from a fingertip. The tumor is the translucent oblate spheroid in the center of the incision, approximate horizontal dimension is 4 millimeters.[3]](/images/6/6c/Glomus_Tumor_Extraction_Closeup.jpg)
Surgical extraction of a glomus tumor from a fingertip. The tumor is the translucent oblate spheroid in the center of the incision, approximate horizontal dimension is 4 millimeters.[3]
![Surgical extraction of a glomus tumor from a fingertip. The tumor is the translucent oblate spheroid in the center of the incision, approximate horizontal dimension is 4 millimeters.[3]](/index.php/File:Glomus_Tumor_Extraction_Closeup.jpg)
References
- ↑ 1.0 1.1 Grover C, Khurana A, Jain R, Rathi V (2013). "Transungual surgical excision of subungual glomus tumour". J Cutan Aesthet Surg. 6 (4): 196–203. doi:10.4103/0974-2077.123401. PMC 3884883. PMID 24470715.
- ↑ Vasisht B, Watson HK, Joseph E, Lionelli GT (2004). "Digital glomus tumors: a 29-year experience with a lateral subperiosteal approach". Plast Reconstr Surg. 114 (6): 1486–9. PMID 15509936.
- ↑ Glomus tumor. Wikipedia. https://en.wikipedia.org/wiki/Glomus_tumor Accessed on January 19, 2016