The utility of vacuum-assisted closure therapy for skin necrosis secondary to cervical abscess in the elderly
| Autor: | Susumu Tanaka, Tadataka Tsuji, Koichi Satoh, Mikihiko Kogo, Akiko Sobue, Emi Okuno, Yoshiya Nishide |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Necrosis medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Aged 80 and over Wound Healing integumentary system biology Neck abscess Wound dehiscence business.industry Vacuum assisted closure C-reactive protein Clindamycin General Medicine medicine.disease Abscess Anti-Bacterial Agents Surgery Otorhinolaryngology biology.protein Drainage Skin grafting Female Parotid Diseases medicine.symptom Tomography X-Ray Computed business Negative-Pressure Wound Therapy medicine.drug Cervical abscess |
| Zdroj: | Auris Nasus Larynx. 44:749-753 |
| ISSN: | 0385-8146 |
| DOI: | 10.1016/j.anl.2016.11.008 |
| Popis: | Vacuum-assisted closure (VAC) systems have been used as negative-pressure dressings in various fields, including decubitus ulcer, trauma, and wound dehiscence. To the best of our knowledge, few reports have examined the utility of VAC therapy for neck abscess in an oldest-old patient. We present here a rare case of neck abscess secondary to parotid abscess, resulting in extensive skin necrosis. Successful management included emergency drainage following epithelial induction through a VAC system without using skin grafting. Two months after surgical intervention, the cervical wound was completely healed without a solid scar. We consider the VAC therapy to be a key factor leading to the complete healing in the elderly under low serum albumin condition. |
| Databáze: | OpenAIRE |
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