Vacuum-assisted closure therapy after resection of giant basal cell carcinoma of the scalp

Pereira, Sílvia; Malta, Wilson; Canha, A.; Polónia, José

doi:10.1093/jscr/rjx122

Cited by 6 publications

(5 citation statements)

References 8 publications

(14 reference statements)

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“…The mean number of sessions for ciNPWT was three (1)(2)(3)(4)(5). Mean BMI was 28.1 (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). The location of the wounds was on the trunk in 13 patients, on the lower extremity in five patients on the pelvis in three patients, on the upper extremity in two patients and head in one patient.…”

Section: Resultsmentioning

confidence: 99%

“…Novel indications in our cases were preventing cerebrospinal skin fistula on the scalp and application of ciNPWT to flap donor site in a newborn with myelomeningocele. There are reports about the employment of VAC on the cortical brain, in cases of the dura and calvarial defects in the literature [23,24]. But, any reports regarding the prevention of CSF fistula were published.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Özkan¹,

Ertaş²,

Bali³

et al. 2020

Cureus

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BackgroundClosed incisional negative pressure wound treatment (ciNPWT) is one of the promising methods for the prevention of complications in surgical incisions. The mechanisms of ciNPWT have previously been elucidated and in this series, we demonstrate various, as of yet, underreported uses for the technology. Our aim is to share our experience with ciNPWT on various anatomic sites with novel indications. Materials and methodsciNPWT was used in 24 patients. The mean age was 49.6. All the incisions were sutured, clean, and non-infected. Patients' sex, age, comorbidities, anatomic location of the wound, and the indications for ciNPWT were recorded. ResultsThe mean number of applications was three per patient. One suture dehiscence after one session of ciNPWT was encountered in a flap donor site of an infant operated for meningomyelocele. Late-term seroma and hematoma formation were encountered in two patients. No surgical site infection, wound dehiscence, and ciNPWT related complications were seen in other patients. The majority of the applications were on the trunk, lower extremity, pelvis, upper extremity, and scalp respectively. Indications for ciNPWT utilization were preventing dehiscence, seroma, and hematoma formation in the majority of the patients. ConclusionciNPWT is reliable and effective in the prevention of post-operative wound dehiscence and surgical site infections. It can be used safely in various locations and different indications for preventing complications such as preventing dehiscence in revision surgeries, cerebrospinal fluid (CSF) fistula formation in the scalp, and wound breakdown in chronic corticosteroid use, Categories: Plastic Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Özkan¹,

Ertaş²,

Bali³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Despite of alternative treatment choices such as local flap, skin graft and radiotherapy, the patient preferred secondary intentional healing because these procedures would require an additional large incision, delicate management of the graft site, and frequent visits 7 8 . For surgical defect of skin tumors, dermal substitutes—including NPWT—have been used instead of reconstructive surgery, especially with confirmed clear margin of postoperative wound 9 10 . To assist with secondary intentional healing of the large scalp defect, NPWT was used in this case.…”

Section: Discussionmentioning

confidence: 99%

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp

et al. 2022

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A 78-year-old male presented with an asymptomatic pinkish multi-nodular mass on his frontal scalp. The lesion had recurred twice after incomplete surgical excision. Initial punch biopsy was diagnosed with cylindroma. He revisited after one year with exophytic enlargement of the mass, and two staged Mohs micrographic surgery identified well-differentiated malignant cylindroma. Histopathology in the lower dermis and periosteal layer showed atypical cells with mitosis and hyperchromatic nucleoli with increased Ki-67 index of 10% to 30%. The postoperative wound was successfully treated with negative wound pressure therapy (NPWT) and secondary intentional healing. We report this case showing malignant transformation of solitary cylindroma, and good result for secondary intention healing using NPWT for postoperative defect.

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“…Following this, healthy granulation tissue covered the calvarium to which a skin graft was applied. 29 Postoperative wounds can arise at any time and such a time is rarely convenient for the reconstructive surgeon. NPWT can be a powerful tool to temporize wound complications like dehiscence or infection following primary reconstruction.…”

Section: Use For Temporizing or Palliation Of Woundsmentioning

confidence: 99%

“…Following this, healthy granulation tissue covered the calvarium to which a skin graft was applied. 29…”

Section: Use For Temporizing or Palliation Of Woundsmentioning

confidence: 99%

Negative Pressure Wound Therapy in the Head and Neck: A Summary of Uses and Application Techniques

2022

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Negative pressure wound therapy (NPWT) has had an expanded role in the management of complex wounds including its increasing use for complex wounds in the head and neck region. Challenges for use in the head and neck region include variations in surface topography and the proximity of sensitive mouth, nose, ear, eye, and tracheal openings. Despite these challenges, NPWT has been used in the head and neck immediately following free flap surgery, to prepare wounds for skin grafting or local flaps, to treat orocutaneous and pharyngocutaneous fistulas, to treat necrotizing and deep neck space infections, to temporize and palliate, and to treat chronic wounds with exposed bone and hardware among others. This review demonstrates the proven track record of successful uses of NPWT in the aforementioned scenarios, provides suggestions to improve efficacy, as well as an algorithm for use in certain clinical situations.

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Vacuum-assisted closure therapy after resection of giant basal cell carcinoma of the scalp

Cited by 6 publications

References 8 publications

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

A Case of Malignant Transformation of Solitary Recurrent Cylindroma on Scalp

Negative Pressure Wound Therapy in the Head and Neck: A Summary of Uses and Application Techniques

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