Journal List > J Korean Assoc Oral Maxillofac Surg > v.36(5) > 1032422

TOOLS
Lee, Kwon, Lim, Kim, Cha, and Nam: Postoperative orocutaneous fistula closure using a vacuum-assisted closure system: a case report
Original Article

J Korean Assoc Oral Maxillofac Surg 2010;36(5):413-416.

Published online: 10 January 2010

DOI: https://doi.org/10.5125/jkaoms.2010.36.5.413

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

Seung-June Lee1, Jinil Kwon1, Kyung-Min Lim1, Hyung Jun Kim1, In-Ho Cha1, 2, Woong Nam1, 2

1Department of Oral and Maxillofacial Surgery, Yonsei University, Seoul, Korea

2Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea

Woong Nam Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, 250 Seongsanno, Seodaemoon-Gu, Seoul, 120-752, Korea Tel: +82-2-2228-2971 FAX: +82-2-2227-8022 E-mail: omsnam@yuhs.ac

Received 8 July 2010       Revised 15 October 2010       Accepted 20 October 2010

Copyright © 2010 Korean Association of Oral and Maxillofacial Surgeons

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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: Mouth neoplasms, Postoperative complications, Cutaneous fistula, Oral fistula, Negative-pressure wound therapy

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.
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.
crossref
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.
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.
crossref
6. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue 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.
crossref
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.
crossref
9. Dhir K, Reino AJ, Lipana J. Vacuum-assisted closure therapy in the management of head and neck wounds. Laryngoscope. 2009; 119:54–61.
crossref
10. Byrd HS, Spicer TE, Cierney G 3rd. Management of open tibial fractures. Plast Reconstr Surg. 1985; 76:719–30.
crossref
11. Godina M. Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg. 1986; 78:285–92.
crossref
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.
crossref
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.

Fig. 1.
A. Initial wound. Purulent exudate discharges via cutaneous dehiscence with exposed muscle, B. Minimal granulation tissue covering neck wound after 3 days of vacuum-assisted closure (VAC) therapy, C. Results after 6 days of VAC therapy, D. Results after 8 days of VAC therapy, E. Results after 16 days of VAC therapy, F. Results after 18 days of VAC therapy, G. Results after 22 days of VAC therapy show almost complete granulation tissue coverage and dead space closure of wound anterior margin, H. Results after 26 days of VAC therapy show complete granulation tissue coverage, I. Results after 7days of VAC therapy completion show significant wound epithelization and contraction.
jkaoms-36-413f1.tif
TOOLS
Similar articles