Orocutaneous and pharyngocutaneous fistula closure using a vacuum-assisted closure system
Orocutaneous and pharyngocutaneous fistula closure using a vacuum-assisted closure system
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DOI：
10.1177/000348940811700410
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发表时间：
2008-04-01
影响因子：
1.4
通讯作者：
Funk, Gerry F.
中科院分区：
文献类型：
--
作者：
Andrews, Brian T.;Smith, Russell B.;Funk, Gerry F.
Objectives: The vacuum-assisted closure (VAC) system is a topical negative pressure dressing that has been used extensively to manage a multitude of complicated wounds, including enterocutaneous fistula. We hypothesize that the VAC system may also facilitate the closure of orocutaneous and pharyngocutaneous fistulas.Methods: A retrospective chart review was performed.Results: Three patients were identified. Two patients developed fistulas after undergoing salvage laryngectomy, and 1 patient developed a fistula after having a hemiglossectomy defect reconstructed by a radial forearm free flap. The VAC system was successful in closing the fistula in 2 of the 3 patients. Complete fistula closure took 3 and 11 days in the 2 cases. The 1 failure of fistula closure was due to poor collapsibility of the neck tissue along the fistula tract caused by fibrosis following prior radiotherapy.Conclusions: The VAC system is a feasible treatment option for closing head and neck fistulas, especially when collapsible tissue is present at the fistula site.
