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H\u00e4ufig f\u00fchrt die inkonsequente konservative Therapie oder die falsch-indizierte operative Intervention zu langwierigen und komplikationsreichen Verl\u00e4ufen, inklusive Rezidiven. Die Patienten sollten \u00fcber die Komplexit\u00e4t des Nagelorgans aufgekl\u00e4rt werden, um der Banalisierung der Erkrankung vorzubeugen, und eine entsprechende Compliance in der Therapie zu erreichen. In diesem Manuskript wird die sachgerechte Versorgung des<jats:italic>Unguis incarnatus<\/jats:italic>im Sinne eines praktischen Behandlungsalgorithmus dargestellt. Die konsequente konservative Therapie ist bei akutem<jats:italic>Unguis incarnatus<\/jats:italic>mit milder Auspr\u00e4gung die Therapie der ersten Wahl mit guten Behandlungsergebnissen. Nagelerhaltende operative Eingriffe kommen bei moderaten\/schweren akuten Formen zum Einsatz. Der chronische<jats:italic>Unguis incarnatus<\/jats:italic>, ohne floride Infektion, stellt eine elektive Operationsindikation dar. 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