Utility of negative‐pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery

Perforation of the larynx is very rare but may result in severe airway complications that include pneumothorax, pneumonia, mediastinitis, and retropharyngeal abscess. If conservative treatment fails, aggressive treatments including reconstructive surgery with pedicle flap are considered. Negative pressure wound therapy has been used for large skin defects, necrotizing fasciitis, pharyngocutaneous fistula, stoma dehiscence, osteoradionecrosis of the mandible, chyle fistula, flap failure, and lymphangioma in the field of head and neck surgery. We report a case of false vocal cord perforation with abscess successfully treated by negative pressure wound therapy after abscess treatment. The result suggests that negative pressure wound therapy can be an alternative or adjunctive approach for larynx perforation when the perforation is difficult to close after conservative therapy.

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Four cases of postoperative complications in the head and neck region treated with negative pressure wound therapy

JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY ◽

10.5106/jjshns.23.435 ◽

2013 ◽

Vol 23 (3) ◽

pp. 435-443

Author(s):

Shinji Mikami ◽

Hideyuki Okamoto ◽

Daisuke Nishikawa ◽

Ichiro Ota ◽

Takashi Masui ◽

...

Keyword(s):

Postoperative Complications ◽

Head And Neck ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Neck Region ◽

Wound Therapy ◽

Head And Neck Region

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Negative Pressure Wound Therapy in the Head and Neck: An Evidence-Based Approach

The Laryngoscope ◽

10.1002/lary.27262 ◽

2018 ◽

Vol 129 (3) ◽

pp. 671-683 ◽

Cited By ~ 3

Author(s):

Ahsan Mir ◽

Nicholas Guys ◽

Khashayar Arianpour ◽

Peter F. Svider ◽

Hani Rayess ◽

...

Keyword(s):

Head And Neck ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Evidence Based ◽

Wound Therapy

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Comparison of negative pressure wound therapy and conventional dressing methods for fibula free flap donor site management in patients with head and neck cancer

Head & Neck ◽

10.1002/hed.23952 ◽

2015 ◽

Vol 38 (5) ◽

pp. 696-699 ◽

Cited By ~ 6

Author(s):

Christine A. Bach ◽

Lia Guilleré ◽

Sinasi Yildiz ◽

Isabelle Wagner ◽

Serge Darmon ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Free Flap ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Donor Site ◽

Site Management ◽

Wound Therapy ◽

Fibula Free Flap

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Endoscopic negative pressure therapy (ENPT) in head and neck surgery: first experiences in treatment of postoperative salivary fistulas and cervical esophageal perforations

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06709-5 ◽

2021 ◽

Author(s):

Jonathan Loeck ◽

Hans-Jürgen von Lücken ◽

Adrian Münscher ◽

Christian Theodor Müller ◽

Gunnar Loske

Keyword(s):

Head And Neck ◽

Negative Pressure ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Negative Pressure Therapy ◽

Pressure Therapy ◽

Surgery First ◽

Esophageal Perforations

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Dermal Graft for Protection of the Pharyngeal Suture Line in Cancer Surgery of the Head and Neck

Otolaryngology ◽

10.1177/019459988108900222 ◽

1981 ◽

Vol 89 (2) ◽

pp. 260-263 ◽

Cited By ~ 5

Author(s):

Peter J. Koltai ◽

Bruce Leipzig

Keyword(s):

Head And Neck ◽

Neck Surgery ◽

Suture Line ◽

Cancer Surgery ◽

Head And Neck Surgery ◽

Control Group ◽

Pharyngocutaneous Fistula ◽

Study Group ◽

Dermal Graft

We studied the effect of free buried dermal grafts to primary pharyngeal closures among 24 nonirradiated patients undergoing radical head and neck surgery to determine if this technique would reduce the incidence of postoperative pharyngocutaneous fistula. For a control group we selected 23 patients who had undergone similar operations as the patients in the study group, but who did not have dermis used for pharyngeal protection. Our results indicate that dermal grafts do not alter the incidence of fistulization following cancer surgery of the head and neck.

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