Nail disorders are the most frequent reason for visits to the podiatry clinic. Although they are not a severe health problem, these types of pathologies have a psychosocial impact on patients, affecting their self-esteem and leading to social and professional self-isolation that can cause anxiety and depression. Laser therapy is considered a potential treatment for nail disorders because it is a fast, easily applied treatment that avoids interaction with medication. However, the literature includes no definitive studies with scientific evidence about the efficacy of laser treatment in traumatic onycholysis, the most frequent clinical sign of nail disorders. Objective: We carried out an objective and quantitative study of the efficacy of laser in treating traumatic onycholysis to provide a new, non-invasive treatment for this pathology, and describe an objective method for its clinical evaluation and evolution. Methods: A strictly repetitive protocol of Nd:YAG 1064 nm laser (PinPointe FootLaser™, Spain) was applied to nails with idiopathic disorders, following the manufacturer’s instructions. The clinical evolution of nail dystrophy was quantitatively evaluated using the affected percentage of the longitudinal axis of the nail. Results: A significant improvement was obtained in nail appearance (dystrophy) in 100% of cases (p < 0.006) after treatment with Nd:YAG 1064 nm laser. Conclusion: Treating traumatic onycholysis with Nd:YAG 1064 nm laser can be a good alternative to conventional pharmacological treatments.

中文翻译：

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激光治疗后外伤性甲松症临床演变的定量评估

指甲疾病是访问足病诊所的最常见原因。虽然它们不是严重的健康问题，但这些类型的病理会对患者产生心理社会影响，影响他们的自尊，并导致社交和职业自我隔离，从而导致焦虑和抑郁。激光疗法被认为是指甲疾病的潜在治疗方法，因为它是一种快速、易于应用的治疗方法，可避免与药物相互作用。然而，文献中没有关于激光治疗外伤性甲骨溶解症疗效的科学证据的明确研究，这是指甲疾病最常见的临床症状。目的：我们对激光治疗外伤性甲溶解的疗效进行了客观和定量的研究，为这种病理提供一种新的、无创的治疗方法，并描述其临床评估和演变的客观方法。方法：按照制造商的说明，将 Nd:YAG 1064 nm 激光（PinPointe FootLaser™，西班牙）的严格重复方案应用于患有特发性疾病的指甲。使用指甲纵轴的受影响百分比定量评估指甲营养不良的临床演变。结果：在 100% 的病例中，指甲外观（营养不良）获得了显着改善（使用指甲纵轴的受影响百分比定量评估指甲营养不良的临床演变。结果：在 100% 的病例中，指甲外观（营养不良）获得了显着改善（使用指甲纵轴的受影响百分比定量评估指甲营养不良的临床演变。结果：在 100% 的病例中，指甲外观（营养不良）获得了显着改善（p < 0.006) 在用 Nd:YAG 1064 nm 激光处理后。结论：用 Nd:YAG 1064 nm 激光治疗外伤性甲溶解可以成为传统药物治疗的良好替代方案。