Honey dressing versus paraffin tulle gras following toenail surgery
Objective: Anecdotal reports suggest that certain honey dressings have a positive effect on wound\ud healing. However, there is limited empirical evidence supporting its use. This double-blind randomised\ud controlled trial investigated the effect of a honey dressing on wound healing following toenail surgery\ud with matrix phenolisation.\ud \ud Method: Participants (n=100) were randomly assigned to receive either an active manuka honey\ud dressing (n=52) or paraffi n-impregnated tulle gras (n=48). The primary outcome was time (days) taken\ud for complete re-epithelialisation of the nail bed.\ud \ud Results: Mean healing times were 40.30 days (SD 18.21) for the honey group and 39.98 days\ud (SD 25.42) for the paraffi n tulle gras group. Partial avulsion wounds healed statistically signifi cantly faster\ud (p=0.01) with paraffi n tulle gras (19.62 days, SD 9.31) than with the honey dressing (31.76 days, SD 18.8),\ud but no signifi cant difference (p=0.21) was found following total avulsion when comparing honey (45.28\ud days, SD 18.03.) with paraffi n tulle gras dressings (52.03 days, SD 21.3).\ud \ud Conclusion: The results suggest that patients may benefi t more from paraffi n tulle gras dressings than\ud honey dressings following partial toenail avulsion. No statistically signifi cant difference was found for\ud healing times after total toenail avulsion, although the marginal benefit of the honey dressing on these\ud healing times warrants further investigation.\ud \ud Declaration of interest: None.
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