Use of negative pressure wound therapy with instillation in the management of cervical necrotizing fasciitis

Head & Neck
Jonathan K FrankelPierre Lavertu

Abstract

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. We discuss a novel application of negative pressure wound therapy with instillation in an immunocompromised patient with extensive cervical necrotizing fasciitis. 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. 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.

References

Apr 7, 2007·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Donnalee Jerome
Sep 28, 2007·Plastic and Reconstructive Surgery·Kensuke KiyokawaYojiro Inoue
Apr 17, 2010·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Vikas MalikChristopher Lobo

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Citations

Nov 26, 2015·The International Journal of Lower Extremity Wounds·Xiaofang Sun, Ting Xie
Dec 22, 2017·Plastic and Reconstructive Surgery. Global Open·Nainika NandaGregory L Borah
Mar 23, 2019·Surgical Infections·Zachary M BaumanGary A Vercruysse
Apr 17, 2019·Ear, Nose, & Throat Journal·George FerzliYadranko Ducic
Mar 28, 2017·Journal of Wound Care·Jan ApelqvistPeter Vowden
Oct 21, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·En-Hui ZhouXiao-Ping Chen
Jul 4, 2018·Journal of Stomatology, Oral and Maxillofacial Surgery·J BettoniS Dakpé

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