Management of an Exposed Mandibular Plate After Fibula Free Flap With Vacuum-Assisted Closure System

Poglio, Giuseppe; Grivetto, Fabrizio; Nicolotti, Matteo; Arcuri, Francesco; Benech, Arnaldo

doi:10.1097/scs.0b013e31820f7fac

Cited by 19 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 3 Another case of mandibular osteoradionecrosis reported use of NPWT before definitive reconstruction. 4 Forehead defects with full-thickness tissue loss showed granulation formation with NPWT followed by surgical closure. 5 Four retrospective reviews of 112 patients with 73 H&N wounds demonstrated improved wound healing without complication.…”

Section: Discussionmentioning

confidence: 99%

Negative-Pressure Wound Therapy for Ludwig’s Angina: A Case Series

Nanda

Zalzal

Borah

2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary:Negative-pressure wound therapy (NPWT) is a well-established therapeutic approach for various complex wound classes. There is currently limited information on the use of NPWT for the scope of head and neck wounds. However, NPWT has been used successfully in some cases, including malignancy, infection, and trauma. In West Virginia, the incidence of dental-related infections leading to Ludwig’s Angina is high due to lack of access to dental care. Our case series describes the application of vacuum-based therapy in conjunction with antibiotic therapy for quick, effective closure of deep tissue infections before definitive complex wound repair via graft and flap reconstructions. Over a period of 3 months, 2 patients with submental infections extending to the lateral neck demonstrated clean, efficient wound closure with NPWT for less than 14 days while hospitalized at West Virginia University Medicine. Outpatient follow-up with these patients demonstrated excellent cosmetic outcomes with minimal contracture or hypertrophy of healing tissue. NPWT promotes wound healing through decreased edema, improved perfusion, and increased granulation of tissue based on our findings. Our series encourages the use of NPWT for initial closure of complex wounds secondary to deep neck infections.

show abstract

Section: Discussionmentioning

confidence: 99%

Negative-Pressure Wound Therapy for Ludwig’s Angina: A Case Series

Nanda

Zalzal

Borah

2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…Finally, multiple studies have identified that skin thinning and necrosis can occur following mandibular plating, resulting in exposure of titanium plates as a complication of the plating technique for mandibular defects . Therefore, optimal reconstruction includes not only rigid fixation that can withstand force and fatigue, but also aesthetic recapitulation of the original anatomy.…”

Section: Discussionmentioning

confidence: 99%

Biomechanical assessment of fixation methods for segmental mandible reconstruction with fibula in the polyurethane model

et al. 2016

View full text Add to dashboard Cite

show abstract

“…NPWT has been used extensively in the treatment of acute and chronic wounds on the torso and limbs, and has been used to treat diabetic foot ulcers [ 4 , 5 , 6 , 7 ]. However, NPWT has been under utilized in head and neck surgeries, despite several case studies showing safe and effective use of NPWT [ 8 , 9 , 10 ]. The current manuscript will briefly review the history of wound healing, the basic science behind NPWT, the considerations for maxillofacial applications, and future improvements for NPWT.…”

Section: Introductionmentioning

confidence: 99%

Negative Pressure Wound Therapy in Maxillofacial Applications

2016

View full text Add to dashboard Cite

Negative pressure wound therapy has greatly advanced the field of wound healing for nearly two decades, by providing a robust surgical adjunct technique for accelerating wound closure in acute and chronic wounds. However, the application of negative pressure wound therapy in maxillofacial applications has been relatively under utilized as a result of the physical articulations and contours of the head and neck that make it challenging to obtain an airtight seal for different negative pressure wound therapy systems. Adapting negative pressure wound therapies for maxillofacial applications could yield significant enhancement of wound closure in maxillofacial applications. The current review summarizes the basic science underlying negative pressure wound therapy, as well as specific maxillofacial procedures that could benefit from negative pressure wound therapy.

show abstract

Management of an Exposed Mandibular Plate After Fibula Free Flap With Vacuum-Assisted Closure System

Abstract: This therapy is a safe, innovative, and useful tool and can be of great assistance especially in complex craniofacial wounds, but it poses some problems such as intricate contours and orifices of the head and neck region, painful dressing changes, and remarkable costs.

Cited by 19 publications

References 18 publications

Negative-Pressure Wound Therapy for Ludwig’s Angina: A Case Series

Negative-Pressure Wound Therapy for Ludwig’s Angina: A Case Series

Biomechanical assessment of fixation methods for segmental mandible reconstruction with fibula in the polyurethane model

Negative Pressure Wound Therapy in Maxillofacial Applications

Contact Info

Product

Resources

About