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a, as well as higher inpatient mortality compared with posterior cervical procedures. Level III. Level III. Paronychia is a common toxicity associated with targeted anticancer therapies. Antibiotics and steroids are the standard treatments for severe paronychia, yet they are often inadequate, prolonging the patient's suffering and resulting in changes to effective cancer therapy. This article describes the clinical course of drug-induced paronychia and attempts to identify circumstances under which nail surgery may be beneficial. This is