Use of negative pressure wound therapy with instillation in the management of cervical necrotizing fasciitis
Use of negative pressure wound therapy with instillation in the management of cervical necrotizing fasciitis
复制标题
DOI：
10.1002/hed.24028
复制
发表时间：
2015-11-01
影响因子：
2.9
通讯作者：
Lavertu, Pierre
中科院分区：
文献类型：
--
作者：
Frankel, Jonathan K.;Rezaee, Rod P.;Lavertu, Pierre
背景。宫颈坏死性筋膜炎是一种侵袭性感染，如果不及早开始积极治疗，可能会迅速致命。负压伤口疗法已被确立为促进伤口愈合的有效工具，但已避免将其用于急性感染伤口，因为它限制了频繁冲洗和标准敷料更换。方法。我们讨论了负压伤口滴注疗法在免疫功能低下的广泛性颈坏死性筋膜炎患者中的新应用。结果。负压伤口滴注疗法通过最大限度地减少换药频率来缓解疼痛，提高愈合速度，有助于控制感染，并促进健康创面床的形成，足以进行断层皮移植重建。结论。负压伤口滴注疗法的作用不断扩大，可用于治疗头部和颈部的急性和慢性伤口。 (C) 2015 年 Wiley 期刊公司。
Background. Cervical necrotizing fasciitis is an aggressive infection that can be rapidly fatal if aggressive therapies are not initiated early. Negative pressure wound therapy has been established as an effective tool in promoting wound healing, but its use in the acutely infected wound has been avoided because it limits frequent irrigations and standard dressing changes.Methods. We discuss a novel application of negative pressure wound therapy with instillation in an immunocompromised patient with extensive cervical necrotizing fasciitis.Results. The negative pressure wound therapy with instillation provided pain relief by minimizing the frequency of dressing changes, increased the speed of healing, helped to control infection, and facilitated the development of a healthy wound bed sufficient for reconstruction with a split thickness skin graft.Conclusion. The role of negative pressure wound therapy with instillation continues to expand and can be used in the management of both acute and chronic wounds in the head and neck. (C) 2015 Wiley Periodicals, Inc.