Negative-pressure wound therapy for the treatment of pharyngocutaneous fistula

被引：23
作者：
Loaec, E. [1 ]
Vaillant, P. -Y. [1 ]
Bonne, L. [1 ]
Marianowski, R. [2 ]
机构：
[1] Hop Instruct Armees Clermont Tonnerre, Serv ORL CCF, F-29241 Brest, France
[2] CHRU Brest, Hop Morvan, Serv ORL CCF, F-29609 Brest, France
来源：
EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2014年 / 131卷 / 06期
关键词：
Negative-pressure wound therapy; Pharyngocutaneous fistula; Head and neck cancer; Total laryngectomy; Partial laryngectomy; VACUUM-ASSISTED CLOSURE; NECK WOUNDS; MANAGEMENT; HEAD; LARYNGECTOMY; EXPERIENCE; SURGERY; SYSTEM;
D O I：
10.1016/j.anorl.2013.12.001
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Introduction: Pharyngocutaneous fistula is a well-known complication of head and neck cancer surgery. The purpose of this study was to determine the value of negative-pressure wound therapy (NPWT) for the treatment of these fistulas. NPWT is used in many fields of medicine, but its use in otorhinolaryngology has been rarely reported. NPWT is a cost-effective means to accelerate wound healing. Patients and methods: A single-centre retrospective study was conducted on 7 patients with pharyngocutaneous fistula following surgery for squamous cell carcinoma between January 2011 and April 2013. These fistulas were treated by negative-pressure wound therapy (NPWT). Results: This series comprised seven male patients with a mean age of 65 years and 9 months. The mean duration of treatment was 23 days (range: 11 to 42 days). Two patients had a history of radiotherapy for pharyngolaryngeal cancer. Negative-pressure wound therapy achieved cure of the fistula in all patients with satisfactory acceptability. Mean follow-up was 10 months (range: 6 months to 2 years). Conclusion: Negative-pressure wound therapy represents a valuable treatment option in certain settings for the management of pharyngocutaneous fistula following head and neck cancer surgery. (C) 2014 Published by Elsevier Masson SAS.
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页码：351 / 355
页数：5
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