Combination of Puncture, Drainage, and Compression by Tape for the Treatment of Digital Mucous Cysts : Review of 123 Cysts in 116 Patients

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  • 指趾粘液囊腫の穿刺排液テーピング療法について
  • 治療 指趾粘液嚢腫の穿刺排液テーピング療法について : 自験116症例123病変の検討
  • チリョウ シシネンエキノウ シュ ノ センシハイエキ テーピング リョウホウ ニ ツイテ : ジケン116 ショウレイ 123 ビョウヘン ノ ケントウ
  • ―― 自験 116 症例 123 病変の検討 ――

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Here, a review is reported of 123 mucous cysts in 122 digits of 116 patients, who were treated by the author between October 2009 and February 2014. Epidemiological data was investigated about age, gender, finger or toe involved, and presence of a nail deformity and the Heberden's node. All the patients were treated by puncture and drainage of the cysts and subsequent compression of the affected digits with surgical tape. These treatments were repeated as needed. Treatment outcomes were also examined and the effectiveness of the method was evaluated. The average age of the patients was 62.0 years (range, 28-87 years). Forty-eight patients (40%) were men and 71 (60%) were women. One hundred and three fingers and 20 toes were affected. The most common digit affected was the middle finger (46 digits). None of the cases included in the review were affected on the fifth toe. Nail deformities manifesting as a longitudinal groove, which occurred secondary to the mucous cysts, were present in 27 of 60 digits (45%). Heberden's nodes were present in 23 of 58 fingers (40%). After a series of treatments, follow-up was carried out in 44 patients. Thirty-nine of 45 cysts (87%) disappeared completely after puncture treatment being performed 2.8 times on average (range, 0-19 times) and 4.4 months of continuous compression on average (range, one week-29 months). The combination of puncture, drainage, and compression by tape for the treatment of digital mucous cysts is a convenient and minimally invasive procedure that does not disturb the daily life of patients. Therefore, repetitive and long-term treatments may be accepted by some patients and may result in complete remission of the cysts. It should also be emphasized that longitudinal grooving of nails was important as an aid in the diagnosis and digital mucous cysts and evaluation of their response to treatment.

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