Vacuum-assisted closure for complicated wounds in head and neck region after reconstruction

Yang, Yi-Hsun; Jeng, Seng‐Feng; Hsieh, Ching‐Hua; Feng, Guan‐Ming; Chen, Chien‐Chung

doi:10.1016/j.bjps.2013.03.006

Cited by 37 publications

(61 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In defects occurring after tumor resection in the neck region, orocutaneous and pharyngocutaneous fistulas can develop due to the proximity of the defect to the oral cavity and the pharyngeal wall [1,2]. Orocutaneous and pharyngocutaneous fistulas mainly develop due to the poor circulation in the tissues in the region after radiotherapy and the improper suture techniques [1]. Saliva flows into the defects through orocutaneous and pharyngocutaneous fistulas.…”

Section: Discussionmentioning

confidence: 99%

“…It was shown that NPT increased the formation of granulation tissue 4 times compared to the moist wound dressing and increased the healing rate by shortening the wound healing process [8,9]. In defects occurring after tumor resection in the neck region, orocutaneous and pharyngocutaneous fistulas can develop due to the proximity of the defect to the oral cavity and the pharyngeal wall [1,2]. Orocutaneous and pharyngocutaneous fistulas mainly develop due to the poor circulation in the tissues in the region after radiotherapy and the improper suture techniques [1].…”

Section: Discussionmentioning

confidence: 99%

“…Radiotherapy increases the incidence of partial or total flap loss and causes the failure of reconstruction since it disrupts the skin circulation in this area [1,2].After radiotherapy, a fistula connecting the oral cavity and the pharyngeal space is frequently encountered in defects in the neck region. The secretions in the mouth and pharynx accumulate in the dead space created by these fistulas after tumor excision and neck dissection, and this situation increases mortality and morbidity by causing complications such as deep neck infection, rupture of large vessels, and flap loss [1,2]. In 2008, Andwers et al used negative pressure therapy (NPT) for the first time in the repair of defects in the neck region and reported to achieve successful results [3,4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The use of negative pressure therapy in the treatment of defects resulting from failed reconstruction in the neck region

Orhan¹,

Başer²

2018

Ann Clin Anal Med

View full text Add to dashboard Cite

Aim: Reconstruction of defects after tumor excision in neck region is very difficult because fistula formation between oral cavity/pharyngeal space and defects is frequently encountered. Salivary swelling through the fistula disrupts wound healing. This study aims to show the effectiveness of negative pressure treatment (NPT) in the treatment of neck defect with fistula formation. Material and Method: Patients who had neck defects with orocutaneous or pharyngocutaneous fistule and treated with NPT

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The use of negative pressure therapy in the treatment of defects resulting from failed reconstruction in the neck region

Orhan¹,

Başer²

2018

Ann Clin Anal Med

View full text Add to dashboard Cite

show abstract

“…The understanding of wound healing has advanced in the past 20 years, with the development of new techniques to manipulate the wound healing process and to improve healing rates, but many of these are costly and are not likely to be available for clinical use [4]. Here, we introduce a type of technology that may be able to solve this problem.…”

Section: Introductionmentioning

confidence: 99%

“…It is worth mentioning that VSD played an important role after the Sichuan earthquake in 2008, when more than 150 severely injured patients were treated using this approach, with good results [3]. Although VSD has been widely used for complicated wounds, its application in oral and maxillofacial surgery has rarely been described [4]. Wound healing is particularly challenging after high-energy trauma to maxillofacial soft tissue, serious maxillofacial abscesses, and reconstructive flap necrosis.…”

Section: Introductionmentioning

confidence: 99%

Application of vacuum sealing drainage in oral and maxillofacial surgery

Lin¹,

Wang²,

Zhang³

2018

biomedicalresearch

View full text Add to dashboard Cite

This study aimed to evaluate the clinical significance of Vacuum Sealing Drainage (VSD) therapy in oral and maxillofacial surgery patients with serious maxillofacial abscesses, trauma wounds, or flap necrosis, and to summarize the advantages of VSD. We retrospectively analysed 28 patients who received VSD therapy in our ward since 2013, including 13 patients with trauma wounds, 8 patients with abscesses, and 7 patients suffering from postoperative flap necrosis. We then compared their treatment time and pain scores with those of 22 patients who received traditional therapy. All the data were statistically analysed using SPSS software. The VSD device was safe, and the 28 serious wounds were effectively resolved after VSD therapy. The use of VSD significantly shortened the time required for healing by 54.5% (P<0.01) and reduced the pain scores by 48.8% (P<0.01) as compared to traditional treatment. VSD has more advantages than traditional therapy in the treatment of various serious maxillofacial wounds, and leads to greater patient satisfaction. VSD has many useful applications in oral and maxillofacial clinical practice.

show abstract