• 1.

    Jacobs RL & Barmada R: Neurilemoma. A review of the literature with six case reports. Arch Surg 102: 181, 1971.

  • 2.

    Graham DI , Lantos PL : Greenfield's Neuropathology, Arnold, London, 2002.

  • 3.

    Kransdorf MJ: Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol 164: 395, 1995.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Karacal N , Sozen E & Agdogan O et al.: Giant schwannoma of the little finger. Dermatol Surg 37: 1499, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 5.

    Moon SE , Cho YJ & Kwon OS: Subungual schwannoma: a rare location. Dermatol Surg 31: 592, 2005.

  • 6.

    Kulkarni J , Moholkar A & Patil A: Subungual schwannoma: an uncommon location. J Hand Surg Am 38: 1258, 2013.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 7.

    Huntley JS , Davie RM & Hooper G: A subungual schwannoma. Plast Reconstr Surg 117: 712, 2006.

  • 8.

    Soto R , Aldunce MJ & Wortsman X et al.: Subungual schwannoma with clinical, sonographic, and histologic correlation. JAPMA 104: 302, 2014.

  • 9.

    Hania M & Mannion C: Sporting injuries: an unusual case of a traumatic schwannoma presenting on the upper lip of a professional footballer. A case report. J Med Cases 8: 243, 2017.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Kennedy WP , Brody RM & LiVolsi VA et al.: Trauma-induced schwannoma of the recurrent laryngeal nerve after thyroidectomy. Laryngoscope 126: 1408, 2016.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 11.

    Wilkinson JM , McClelland MR & Battersby RD: Spinal cord schwannoma after vertebral trauma: a causal relation? J Neurol Neurosurg Psychiatry 59: 358, 1995.

  • 12.

    Jabra AS & Godoy J: Rare schwannoma nerve tumor in a lesser toe: a case report. JAPMA 109: 322, 2019.

  • 13.

    Wilson AG Jr, , Hofmeister EP & Thompson M: Recurrent schwannoma with bony erosion of the distal middle finger. Am J Orthop 36: E37, 2007.

  • 14.

    Nath AK , Sanmarkan AD & D'Souza M et al.: Non-healing ulcer on the great toe due to cellular schwannoma. Clin Exp Dermatol 34: e904, 2009.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 15.

    Kosaka M , Asamura S & Wada Y et al.: Pincer nails treated using zigzag nail bed flap method: results of 71 toenails. Dermatol Surg 36: 506, 2010.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 16.

    Henderson HP: The best dressing for a nail bed is the nail itself. J Hand Surg Br 9: 197, 1984.

A Zigzag Flap for Correcting a Nail Deformity Caused by Subungual Schwannoma

AnLi Lee
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Chi-Yuan Tzen
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Chia-Meng Yu
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Ming-Feng Tsai
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Subungual schwannoma is quite rare and often causes nail deformity and difficulty in wearing shoes. Complete tumor excision is the treatment of choice, and we advocate that restoring the nail appearance should be considered at the same time. We present the case of 43-year-old man with a big toe subungual schwannoma. We designed a zigzag incision method to excise the tumor and also corrected nail-bed deformity. The patient had a smooth recovery, and the nail plate regrew with a good appearance.

Division of Plastic Surgery, Department of Surgery, MacKay Memorial Hospital, Taipei, Taiwan.

Department of Pathology, MacKay Memorial Hospital, Taipei, Taiwan.

Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.

Corresponding author: Ming-Feng Tsai, MD, MacKay Memorial Hospital, No 92, Sec 2, Zhongshan North Rd, Taipei 10449, Taiwan. (E-mail: vacaflower@gmail.com)
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