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Postoperative orocutaneous fistula closure using a vacuum-assisted closure system: a case report

구강암 수술 후 발생한 구강 경부 누공(orocutaneous fistula) 치료 시 진공 음압 폐쇄(vacuum-assisted closure) 시스템을 이용한 상처 치료

  • Lee, Seung-June (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kwon, Jin-Il (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lim, Kyung-Min (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 이승준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 권진일 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 임경민 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실)
  • Received : 2010.07.08
  • Accepted : 2010.10.20
  • Published : 2010.10.29

Abstract

Fleischmann et al. first described the concept of using sub-atmospheric pressure to treat open or infected wounds in 1993. Since then, Argenta and Morykwas developed subatmospheric, or negative pressure dressings in 1997 as a means of managing complicated wounds. Since its introduction in 1997, the vacuum-assisted closure (VAC) system has been used widely in general plastic surgery, general surgery, and orthopedic surgery to manage complicated wounds of the torso and extremities. However, there is a paucity of literature describing its use in the head and neck region, particularly in oral and maxillofacial surgery. We report a successful case of postoperative orocutaneous fistula closure using a VAC system in a 59-year male with a review of the relevant literature.

Keywords

References

  1. Fleischmann W, Strecker W, Bombelli M, Kinzl L. [Vacuum sealing as treatment of soft tissue damage in open fractures]. Unfallchirurg 1993;96:488-92.
  2. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg 1997;38:563-76; discussion 577. https://doi.org/10.1097/00000637-199706000-00002
  3. Andrews BT, Smith RB, Goldstein DP, Funk GF. Management of complicated head and neck wounds with vacuum-assisted closure system. Head Neck 2006;28:974-81. https://doi.org/10.1002/hed.20496
  4. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 1997;38:553-62. https://doi.org/10.1097/00000637-199706000-00001
  5. Webb LX, Pape HC. Current thought regarding the mechanism of action of negative pressure wound therapy with reticulated open cell foam. J Orthop Trauma 2008;22(10 Suppl):S135-7. https://doi.org/10.1097/BOT.0b013e31818956ce
  6. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and softtissue preservation. Clin Orthop Relat Res 1989:249-81.
  7. Robson MC, Stenberg BD, Heggers JP. Wound healing alterations caused by infection. Clin Plast Surg 1990;17:485-92.
  8. Saxena V, Hwang CW, Huang S, Eichbaum Q, Ingber D, Orgill DP. Vacuum-assisted closure: microdeformations of wounds and cell proliferation. Plast Reconstr Surg 2004;114:1086-96; discussion 1097-88.
  9. Dhir K, Reino AJ, Lipana J. Vacuum-assisted closure therapy in the management of head and neck wounds. Laryngoscope 2009; 119:54-61. https://doi.org/10.1002/lary.20000
  10. Byrd HS, Spicer TE, Cierney G, 3rd. Management of open tibial fractures. Plast Reconstr Surg 1985;76:719-30. https://doi.org/10.1097/00006534-198511000-00011
  11. Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 1986;78:285-92. https://doi.org/10.1097/00006534-198609000-00001
  12. Armstrong DG, Lavery LA, Abu-Rumman P, Espensen EH, Vazquez JR, Nixon BP, et al.. Outcomes of subatmospheric pressure dressing therapy on wounds of the diabetic foot. Ostomy Wound Manage 2002;48:64-8.
  13. Clare MP, Fitzgibbons TC, McMullen ST, Stice RC, Hayes DF, Henkel L. Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds. Foot Ankle Int 2002;23:896-901.
  14. Venturi ML, Attinger CE, Mesbahi AN, Hess CL, Graw KS. Mechanisms and clinical applications of the vacuum-assisted closure (VAC) Device: a review. Am J Clin Dermatol 2005;6: 185-94. https://doi.org/10.2165/00128071-200506030-00005