{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T05:43:51Z","timestamp":1774849431082,"version":"3.50.1"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Onychodystrophies constitute the most common nail diseases at any age. The condition is chronic and requires treatment due to the patient\u2019s discomfort. Destructive changes to the nail apparatus are unaesthetic, often physically painful and socially embarrassing. The aim of the study was to focus on to evaluate the efficacy of nail cleaning with the use of milling cutters in improving the clinical picture of the nails, regardless of systemic comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study involved 50 patients diagnosed with the pathological condition of toenail dystrophy. The research was conducted between June 2021 and April 2024. The study used a method of cleaning the toenails with specialized sterile tools and milling cutters using a podiatric milling machine. Patients enrolled in the research project did not receive any other additional general or local treatment in the evaluated area. Procedures and follow-up visits were performed every 4 weeks until complete healing. Attention was also paid to the predispositions contributing to the occurrence of toenail plate deformities, as well as comparing the effectiveness of the therapeutic method used in terms of the type of defect, age and gender of the probands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>74.0% were women. The mean age was 41.80 \u00b1 18.28 years. Nail plate degeneration (onychodystrophy) dominated among the types of nail deformity (70.0%). The mean length of therapy was 4.75 \u00b1 2.96 months (ranging from 1 to 15 months). The predominant length of therapy was 4\u20135 months (30%). The evaluation of the effectiveness of therapy in the analyzed group amounted to 8.88 \u00b1 1.26.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cleaning with sterile milling cutters was associated with a reduction in pain and an improvement in the clinical condition of the nail apparatus. The therapy allows for a safe and conservative approach to treating toenail dystrophy, improving patients\u2019 overall wellbeing and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1750999","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T04:12:02Z","timestamp":1774843922000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of the effectiveness of podiatric nail cleaning in terms of patient health and quality of life: prospective observational study"],"prefix":"10.3389","volume":"13","author":[{"given":"Faustyna","family":"Kuros","sequence":"first","affiliation":[{"name":"Department of Medicine and Health Sciences, Institute of Health, Academy of Applied Sciences","place":["Nowy Targ, Poland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Wcis\u0142o-Dziadecka","sequence":"additional","affiliation":[{"name":"Department of Practical Cosmetology and Skin Diagnostics, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia","place":["Katowice, Poland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1159\/000528474","article-title":"Onychodystrophy with multiple epiphyseal dysplasia: literature review.","volume":"9","author":"Albucker","year":"2023","journal-title":"Skin Appendage Disord."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e15974","DOI":"10.7759\/cureus.15974","article-title":"Parrot beak nail: case report and review of parrot beak nail dystrophy.","volume":"13","author":"Forouzan","year":"2021","journal-title":"Cureus."},{"key":"B3","first-page":"73","volume-title":"Nail Diseases. The Big Book of Nail Diseases: Cause, Podiatry Diagnosis, Therapy, Prophylaxis.","author":"Niederau","year":"2020"},{"key":"B4","doi-asserted-by":"publisher","first-page":"121","DOI":"10.5021\/ad.2019.31.2.121","article-title":"Nail dystrophy in patients with atopic dermatitis and its association with disease severity.","volume":"31","author":"Chung","year":"2019","journal-title":"Ann Dermatol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1080\/08998280.2020.1771140","article-title":"Alopecia universalis and onychodystrophy during treatment with adalimumab.","volume":"33","author":"Youssef","year":"2020","journal-title":"Proc."},{"key":"B6","first-page":"Doc02","article-title":"Onychodystrophy and its management.","volume":"1","author":"Oppel","year":"2003","journal-title":"Ger Med Sci."},{"key":"B7","doi-asserted-by":"publisher","first-page":"38","DOI":"10.5334\/jbsr.3559","article-title":"Psoriatic dactylitis with onychodystrophy.","volume":"108","author":"Van Houtven","year":"2024","journal-title":"J Belg Soc Radiol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"39","DOI":"10.5005\/jp-journals-10085-9111","article-title":"Onychomycosis as a cause of onychodystrophy: a narrative review.","volume":"11","author":"Muthulatha","year":"2022","journal-title":"Ann SBV."},{"key":"B9","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.jdcr.2024.07.002","article-title":"At-home technique for debridement of nail plate thickening.","volume":"29","author":"Axler","year":"2024","journal-title":"JAAD Case Rep."},{"key":"B10","first-page":"299","article-title":"Patients\u2019 knowledge about changes of nail plate.","volume":"3","author":"Ka\u017amierczak","year":"2018","journal-title":"Kosmetol Estetyczna."},{"key":"B11","doi-asserted-by":"publisher","first-page":"e45007","DOI":"10.7759\/cureus.45007","article-title":"Nail whispers revealing dermatological and systemic secrets: an analysis of nail disorders associated with diverse dermatological and systemic conditions.","volume":"15","author":"Satasia","year":"2023","journal-title":"Cureus."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e39","DOI":"10.1016\/j.jaad.2019.05.069","article-title":"Painless technique for debridement of onychodystrophic nails.","volume":"82","author":"Lin","year":"2020","journal-title":"J Am Acad Dermatol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1111\/j.1473-2130.2004.00095.x","article-title":"Nail abrasion.","volume":"2","author":"Chiacchio","year":"2003","journal-title":"J Cosmet Dermatol."},{"key":"B14","first-page":"222","article-title":"Mechanical nail abrasion uses beyond the nail plate.","volume":"8","author":"\u00c1lvarez","year":"2023","journal-title":"Stem Cell Res Ther."},{"key":"B15","doi-asserted-by":"publisher","first-page":"2774","DOI":"10.1111\/jocd.15803","article-title":"Two case studies of the treatment of simple onycholysis with disappearing nail bed caused by trauma by combined pharmacological, orthonyxia and taping methods.","volume":"22","author":"Adamczyk","year":"2023","journal-title":"J Cosmet Dermatol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1016\/j.jaad.2024.01.073","article-title":"Prosthetic resin nail improves quality of life in patients with retronychia in a single-center clinical trial.","volume":"90","author":"Curtis","year":"2024","journal-title":"J Am Acad Dermatol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1053\/j.jfas.2008.12.012","article-title":"Efficacy of debridement alone versus debridement combined with topical antifungal nail lacquer for the treatment of pedal onychomycosis: a randomized, controlled trial.","volume":"48","author":"Malay","year":"2009","journal-title":"J Foot Ankle Surg."},{"key":"B18","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/s13047-023-00631-1","article-title":"A 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