Vacuum assisted therapy in the head and neck.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-05-21 DOI:10.1097/MOO.0000000000001057

Max Feng, Shekhar K Gadkaree, Adeeb Derakhshan

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引用次数: 0

Abstract

Purpose of review: To review the utility of negative pressure wound therapy (NPWT) in the management of head and neck wounds.

Recent findings: NPWT has broad applications in the management of head and neck wounds. NPWT has demonstrated success in the treatment of head and neck fistulas and necrotizing soft tissue infections. Immediate application after free flap reconstruction is also shown to be safe, with benefits of reduced tissue edema and promotion of wound healing. NPWT can further be used to prepare chronic wounds for reconstruction, particularly in patients who have undergone radiotherapy. The addition of intermittent saline instillation and dwell time has shown promise in treating head and neck fistulas.

Summary: NPWT has been shown to improve wound healing times, reduce length of hospital stays, decrease frequency of dressing changes, and lower pain scores compared to conventional wound care. However, existing evidence is largely limited to case reports and retrospective studies, with few prospective comparative studies. Larger prospective studies are needed to further investigate the efficacy and safety of NPWT in the head and neck.

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头颈部真空辅助治疗。

综述目的：回顾负压创伤治疗在头颈部创伤治疗中的应用。最新发现：NPWT在头颈部创伤的治疗中有广泛的应用。NPWT在治疗头颈部瘘管和坏死性软组织感染方面取得了成功。自由皮瓣重建后立即应用也被证明是安全的，具有减少组织水肿和促进伤口愈合的好处。NPWT可以进一步用于准备慢性伤口重建，特别是在接受放射治疗的患者中。在治疗头颈部瘘管方面，间歇性盐水滴注和停留时间的增加显示出了希望。总结：与传统伤口护理相比，NPWT已被证明可以改善伤口愈合时间，缩短住院时间，减少换药频率，降低疼痛评分。然而，现有的证据主要局限于病例报告和回顾性研究，很少有前瞻性比较研究。需要更大规模的前瞻性研究来进一步研究NPWT在头颈部的疗效和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.