Utility of negative-pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery
| Autor: | Sei Yoshida, Mioko Matsuo, Hideki Kadota, Seita Fukushima, Yusuke Inatomi, Kenichi Kamizono, Kayo Miyashita, Ryo Shimamoto, Junichi Fukushima, Ryuji Yasumatsu, Shunichiro Tanaka |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Wound therapy medicine.medical_treatment Cutaneous Fistula Pharyngocutaneous Fistula 03 medical and health sciences 0302 clinical medicine Postoperative Complications Negative-pressure wound therapy Medicine Humans 030223 otorhinolaryngology Adverse effect Retrospective Studies business.industry Head and neck cancer Fistula closure Pharyngeal Diseases medicine.disease Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Head and neck surgery business Negative-Pressure Wound Therapy Postoperative fistula |
| Zdroj: | HeadneckREFERENCES. 42(1) |
| ISSN: | 1097-0347 |
| Popis: | Background Because of the difficulty of airtight sealing and risk of salivary contamination, negative-pressure wound therapy (NPWT) has rarely been applied for postoperative fistula following head and neck surgery; thus, its utility remains unclear. Methods We applied NPWT in 34 patients who developed orocutaneous and pharyngocutaneous fistula after head and neck surgery. Here we retrospectively analyzed the utility of NPWT for managing those fistulas. Results Thirty-two patients (94.1%) underwent NPWT as scheduled without adverse events. In 28 patients (82.4%), fistula closure was completed only by NPWT, and the mean period to fistula closure was 30.4 days. The mean period to closure did not differ significantly between fistulas with (21.7 days) and without (39.1 days) previous irradiation. Conclusions Airtight sealing can be maintained and postoperative fistula can be closed by NPWT with a high success rate, even after previous irradiation. NPWT is an effective and minimally invasive treatment for postoperative fistula. |
| Databáze: | OpenAIRE |
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