Negative Pressure Therapy in Otorhinolaryngology
Authors:
Z. Fík 1,2; M. Šteffl 1,3; H. Mrázková 4; M. Chovanec 1
; J. Plzák 1
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku, 1. lékařská fakulta, Univerzita Karlova v Praze a Fakultní nemocnice v Motole
1; Anatomický ústav, 1. lékařská fakulta, Univerzita Karlova v Praze
2; Ústav molekulární genetiky Akademie věd České republiky v. v. i.
3; III. chirurgická klinika, 1. lékařská fakulta, Univerzita Karlova v Praze a Fakultní nemocnice v Motole
4
Published in the journal:
Otorinolaryngol Foniatr, 64, 2015, No. 1, pp. 36-41.
Category:
Case Reports
Summary
Negative pressure wound therapy (NPWT) is well established in surgical praxis in the last two decades. Using of this method in the head and neck region is always limited not only due its price, but also for difficulties in the anatomy of head and neck.
NPWT was used in three patients at the Department of Otorhinolaryngology and the head and neck surgery 1st Faculty of Medicine and Teaching hospital Motol during the first half of 2014. Two of these patients were after oncosurgical management and the last one was patient with uncompensated diabetes type 1 with extensive necrotic defect of the skin on the neck.In all cases, NPWT was used after failure of the standard conservative treatment.
Acceleration of granulation tissue formation was observed as well as epidermization from the edges of wound afterwards. Covering of the wound using the dermo-epidermoid flap was indicated in two cases. No complications during the process of healing were observed, however we do not achieve complete recovery of wound in one case probably due to completed adjuvant radiotherapy.
NPWT is beneficial modality in the management of complicated wounds in the head and neck region with the primary goal to stabilize wound environment and accelerating of the granulation tissue formation. It is noninvasive method, which minimally burdens the patient and could avoid him from extensive surgical procedure. NPWT could be the effective treatment instrumentat the ENT departments if indicated, we believe.
Keywords:
VAC, chronic wound, healing, negative pressure therapy, skin graft
Zdroje
1. Andrews, B. T., Smith, R. B., Goldstein, D. P., Funk, G. F.: Management of complicated head and neck wounds with vacuum-assisted closure system. Head Neck, 28, 2006, 11, s. 974-981.
2. Andrews, B. T., Smith, R. B., Hoffman, H. T., Funk, G. F.: Orocutaneous and pharyngocutaneous fistula closure using a vacuum-assisted closure system. Ann. Otol. Rhinol. Laryngol, 117, 2008, 4, s. 298-302.
3. Argenta, L. C., Morykwas, M. J.: Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann. Plast. Surg., 38, 1997, 6, s. 563-576, discussion 77.
4. Baharestani, M., Amjad, I., Bookout, K., Fleck, T., Gab-riel, A., Kaufman, D. et al.: V.A.C. Therapy in the management of paediatric wounds: clinical review and experience. Int Wound. J., 6, Suppl 1, 2009, s. 1-26.
5. Benech, A., Arcuri, F., Poglio, G., Brucoli, M., Guglielmet-ti, R., Crespi, M. C. et al.: Vacuum-assisted closure therapy in reconstructive surgery. Acta Otorhinolaryngol. Ital., 32, 2012, 3, s. 192-197.
6. Biswas, A., Bharara, M., Hurst, C., Armstrong, D. G., Rilo, H.: The micrograft concept for wound healing: strategies and applications. J. Diabetes Sci. Technol., 4, 2010, 4, s. 808-819.
7. Dhir, K., Reino, A. J., Lipana, J.: Vacuum-assisted closure therapy in the management of head and neck wounds. Laryngoskope, 119, 2009, 1, s. 54-61.
8. Expert Working G.: Vacuum assisted closure: recommendations for use. A consensus document. Int Wound J., 5, Suppl., 4, 2008, s. iii-19.
9. Flack, S., Apelqvist, J., Keith, M., Trueman, P., Williams, D.: An economic evaluation of VAC therapy compared with wound dressings in the treatment of diabetic foot ulcers. J. Wound Care, 17, 2008, 2, s. 71-78.
10. Iusupov, Iu. N., Epifanov, M. V.: [Active drainage of a wound]. Vestn Khir Im I I Grek. 138, 1987, 4, s. 42-46.
11. Kakarala, K., Richmon, J. D., Lin, D. T., Deschler, D. G.: Vacuum-assisted closure in revision free flap reconstruction. Arch. Otolaryngol. Head Neck Surg., 137, 2011, 6, s. 622-624.
12. Kirshtein, B., Mizrahi, S.: Vacuum-assisted management of enteroatmospheric fistula within the open abdomen. Am. Surg., 80, 2014, 2, s. 209-210.
13. Klozar, J., Cada, Z., Koslabova, E.: Complications of total laryngectomy in the era of chemoradiation. Eur. Arch. Otorhinolaryngol., 269, 2012, 1, s. 289-293.
14. Kostiuchenok, B. M., Kolker, I. I, Karlov, V. A., Ignaten-ko, S. N., Muzikant, L. I.: [Vacuum treatment in the surgical management of suppurative wounds]. Vestn Khir Im I I Grek., 137, 1986, 9, s. 18-21.
15. Marathe, U. S., Sniezek, J. C.: Use of the vacuum-assisted closure device in enhancing closure of a massive skull defect. Laryngoskope, 114, 2004, 6, s. 961-964.
16. Moues, C. M., Heule, F., Hovius, S. E.: A review of topical negative pressure therapy in wound healing: sufficient evidence? Am. J. Surg., 201, 2011, 4, s. 544-556.
17. Palm, H. G., Hauer, T., Simon, C., Willy, C.: Vacuum-assisted closure of head and neck wounds. HNO, 59, 2011, 8, s. 819-830.
18. Pereira, C. T., Herndon, D. N., Rocker, R., Jeschke, M. G.: Liposomal gene transfer of keratinocyte growth factor improves wound healing by altering growth factor and collagen expression. J. Surg. Res., 139, 2007, 2, s. 222-228.
19. Shreenivas, S., Magnuson, J. S., Rosenthal, E. L.: Use of negative-pressure dressings to manage a difficult surgical neck wound. Ear Nose Throat J., 85, 2006, 6, s. 390-391.
20. Shukla, V. K., Fišary, S. K., Barnwal, S., Gulami, A. K., Pandey, S. S.: Effect of autologous epidermal cell suspension transplantation in chronic nonhealing wounds: a pilot study. Can. J. Surg., 53, 2010, 1, s. 6-10.
21. Shweiki, E., Gallagher, K. E.: Negative pressure wound therapy in acute, contaminated wounds: documenting its safety and efficacy to support current global practice. Int. Wound J., 10, 2013, 1, s. 13-43.
22. Stryja, J.: Repetitorium hojení ran. Geum, 2008.
23. Šimek, M., Bém, R.: Podtlaková léčba ran. Maxdorf, 2013.
24. Tian, B., Khoo, D., Tay, A. C., Soo, K. C., Tan, N. C., Tan, H. K.et al.: Management of orocutaneous fistulas using a vacuum-assisted closure system. Head Neck, 36, 2014, 6, s. 873-881.
25. Tran, L. E., Berry, G. J., Fee, W. E. Jr.: Split-thickness skin graft attachment to bone lacking periosteum. Arch. Otolaryngol. Head Neck Surg, 131, 2005, 2, s. 124-128.
26. Vanderveen, E. E., Stoner, J. G., Swanson, N. A.: Chiseling of exposed bone to stimulate granulation tissue after Mohs surgery. J. Dermatos. Surg. Oncol., 9, 1983, 11, s. 925-928.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2015 Číslo 1
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