James Johnston1, Felix Mariano, David Vokes. 1. ORL Head and Neck Surgery Department, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand. jamesjordanjohnston@gmail.com.
Abstract
BACKGROUND: Negative pressure wound therapy (NPWT) is an effective modality in most areas of the body and is associated with more rapid healing. However the use of negative pressure remains a challenge in managing complex wounds of the head and neck region. METHODS AND RESULTS: We present the case of a patient with a laryngectomy stoma and an adjacent defect. This was successfully closed in ten days using a novel dressing system comprising Aekin cohesive circular dressings, a Shiley cuffed non-fenestrated size 6.0 tracheostomy tube, and a NPWT device. CONCLUSIONS: Until now NPWT dressings in the head and neck region have been limited by wounds that develop around a laryngectomy stoma or tracheostomy site. We have described the successful use of a negative pressure dressing around the airway owing to the combined use of a tracheosotomy tube and the appropriate dressing.
BACKGROUND: Negative pressure wound therapy (NPWT) is an effective modality in most areas of the body and is associated with more rapid healing. However the use of negative pressure remains a challenge in managing complex wounds of the head and neck region. METHODS AND RESULTS: We present the case of a patient with a laryngectomy stoma and an adjacent defect. This was successfully closed in ten days using a novel dressing system comprising Aekin cohesive circular dressings, a Shiley cuffed non-fenestrated size 6.0 tracheostomy tube, and a NPWT device. CONCLUSIONS: Until now NPWT dressings in the head and neck region have been limited by wounds that develop around a laryngectomy stoma or tracheostomy site. We have described the successful use of a negative pressure dressing around the airway owing to the combined use of a tracheosotomy tube and the appropriate dressing.
Authors: Muhammad Faisal; Peter D Berend; Rudolf Seemann; Stefan Janik; Stefan Grasl; Andrea Ritzengruber; Herbert Mendel; Arif Jamshed; Raza Hussain; Boban M Erovic Journal: Cancers (Basel) Date: 2021-05-19 Impact factor: 6.639