Three cases of postoperative cutaneous ulcer in the head and neck region treated with negative pressure wound therapy

Although negative pressure wound therapy (NPWT) is widely used, its application to the head and neck region remains challenging due to anatomical complexities. This report presents the case of a female patient presenting with mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes, uncontrolled diabetes and severe bilateral sensorineural hearing loss. The patient had undergone cochlear implant surgery and five months later the wound was infected with methicillin-resistant Staphylococcus aureus (MRSA). NPWT was started shortly after removing the internal receiver and was stopped 11 days later. NPWT helped in controlling infection and led to a successful wound closure. In this case, NPWT was effective in treating infectious wounds around the auricle after cochlear implant surgery. Declaration of interest: The authors have no financial support for this article and no conflict of interest directly relevant to the content of this article.

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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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Negative Pressure Wound Therapy in Head and Neck Surgery

JAMA Facial Plastic Surgery ◽

10.1001/jamafacial.2013.2163 ◽

2014 ◽

Vol 16 (2) ◽

pp. 120-126 ◽

Cited By ~ 12

Author(s):

Scott A. Asher ◽

Hilliary N. White ◽

Joseph B. Golden ◽

J. Scott Magnuson ◽

William R. Carroll ◽

...

Keyword(s):

Head And Neck ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Wound Therapy

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

Head & Neck ◽

10.1002/hed.25989 ◽

2019 ◽

Vol 42 (1) ◽

pp. 103-110 ◽

Cited By ~ 1

Author(s):

Yusuke Inatomi ◽

Hideki Kadota ◽

Sei Yoshida ◽

Kenichi Kamizono ◽

Ryo Shimamoto ◽

...

Keyword(s):

Head And Neck ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Pharyngocutaneous Fistula ◽

Wound Therapy

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The use of negative pressure wound therapy in the primary setting for high-risk head and neck surgery

American Journal of Otolaryngology ◽

10.1016/j.amjoto.2020.102470 ◽

2020 ◽

Vol 41 (4) ◽

pp. 102470

Author(s):

Quinn F. O'Malley ◽

John R. Sims ◽

Mykayla L. Sandler ◽

Hannah Spitzer ◽

Mark L. Urken

Keyword(s):

High Risk ◽

Head And Neck ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Neck Surgery ◽

Head And Neck Surgery ◽

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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Immediate Negative Pressure Wound Therapy After Free Flap Transfer for Head and Neck Cancer Surgery

The Laryngoscope ◽

10.1002/lary.27169 ◽

2018 ◽

Vol 128 (11) ◽

pp. 2478-2482 ◽

Cited By ~ 2

Author(s):

Pao-Yuan Lin ◽

Tz-Luen Liou ◽

Ko-Chien Lin ◽

Mu-Han Hsieh ◽

Chih-Yen Chien ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Free Flap ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Cancer Surgery ◽

Wound Therapy ◽

Flap Transfer ◽

Free Flap Transfer

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Impact of Previous Irradiation on Wound Healing after Negative Pressure Wound Therapy in Head and Neck Cancer Patients—A Systematic Review

Cancers ◽

10.3390/cancers13102482 ◽

2021 ◽

Vol 13 (10) ◽

pp. 2482

Author(s):

Muhammad Faisal ◽

Peter D. Berend ◽

Rudolf Seemann ◽

Stefan Janik ◽

Stefan Grasl ◽

...

Keyword(s):

Wound Healing ◽

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Cochrane Library ◽

Wound Therapy ◽

Previous Irradiation

(1) Background: Negative pressure wound therapy (NPWT) has been effectively used for wound management in comparison to traditional dressings. The purpose of this study was to provide an evidence-based review of NPWT in head and neck cancer patients, as well as the impact of previous irradiation and other risk factors on wound healing. (2) Material and Methods: We conducted a comprehensive search in PubMed, Medline, Embase, Web of Science, and Cochrane Library databases for relevant literature. (3) Results: 15 studies fulfilled the inclusion criteria. The most common etiologies requiring NPWT were defects post tumor resection and flap reconstruction and oro/pharyngo-cutaneous fistulas. The neck was found to be the most common site of involvement (47.3%). The overall wound healing response rate was 87.5%. The median negative pressure recorded was 125 mm of Hg, with a median dressing change time of three days. Previous irradiation (p = 0.01; OR = 4.07) and diabetes mellitus (DM) (p = 0.001; OR = 5.62) were found to be significantly associated with delayed wound healing after NPWT. (4) Conclusion: NPWT treats complex wounds in head and neck cancer patients and should represent a significant armamentarium in head and neck cancers. Previous irradiation and DM have detrimental effects on wound healing after NPWT.

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