Utility of negative-pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery

Yusuke Inatomi, Hideki Kadota, Sei Yoshida, Kenichi Kamizono, Ryo Shimamoto, Seita Fukushima, Kayo Miyashita, Mioko Matsuo, Ryuji Yasumatsu, Shunichiro Tanaka, Junichi Fukushima

研究成果: ジャーナルへの寄稿記事

抄録

Background: Because of the difficulty of airtight sealing and risk of salivary contamination, negative-pressure wound therapy (NPWT) has rarely been applied for postoperative fistula following head and neck surgery; thus, its utility remains unclear. Methods: We applied NPWT in 34 patients who developed orocutaneous and pharyngocutaneous fistula after head and neck surgery. Here we retrospectively analyzed the utility of NPWT for managing those fistulas. Results: Thirty-two patients (94.1%) underwent NPWT as scheduled without adverse events. In 28 patients (82.4%), fistula closure was completed only by NPWT, and the mean period to fistula closure was 30.4 days. The mean period to closure did not differ significantly between fistulas with (21.7 days) and without (39.1 days) previous irradiation. Conclusions: Airtight sealing can be maintained and postoperative fistula can be closed by NPWT with a high success rate, even after previous irradiation. NPWT is an effective and minimally invasive treatment for postoperative fistula.

元の言語英語
ページ(範囲)103-110
ページ数8
ジャーナルHead and Neck
42
発行部数1
DOI
出版物ステータス出版済み - 1 1 2020

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Negative-Pressure Wound Therapy
Fistula
Neck
Head

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

これを引用

Utility of negative-pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery. / Inatomi, Yusuke; Kadota, Hideki; Yoshida, Sei; Kamizono, Kenichi; Shimamoto, Ryo; Fukushima, Seita; Miyashita, Kayo; Matsuo, Mioko; Yasumatsu, Ryuji; Tanaka, Shunichiro; Fukushima, Junichi.

:: Head and Neck, 巻 42, 番号 1, 01.01.2020, p. 103-110.

研究成果: ジャーナルへの寄稿記事

Inatomi, Yusuke ; Kadota, Hideki ; Yoshida, Sei ; Kamizono, Kenichi ; Shimamoto, Ryo ; Fukushima, Seita ; Miyashita, Kayo ; Matsuo, Mioko ; Yasumatsu, Ryuji ; Tanaka, Shunichiro ; Fukushima, Junichi. / Utility of negative-pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery. :: Head and Neck. 2020 ; 巻 42, 番号 1. pp. 103-110.
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abstract = "Background: Because of the difficulty of airtight sealing and risk of salivary contamination, negative-pressure wound therapy (NPWT) has rarely been applied for postoperative fistula following head and neck surgery; thus, its utility remains unclear. Methods: We applied NPWT in 34 patients who developed orocutaneous and pharyngocutaneous fistula after head and neck surgery. Here we retrospectively analyzed the utility of NPWT for managing those fistulas. Results: Thirty-two patients (94.1{\%}) underwent NPWT as scheduled without adverse events. In 28 patients (82.4{\%}), fistula closure was completed only by NPWT, and the mean period to fistula closure was 30.4 days. The mean period to closure did not differ significantly between fistulas with (21.7 days) and without (39.1 days) previous irradiation. Conclusions: Airtight sealing can be maintained and postoperative fistula can be closed by NPWT with a high success rate, even after previous irradiation. NPWT is an effective and minimally invasive treatment for postoperative fistula.",
author = "Yusuke Inatomi and Hideki Kadota and Sei Yoshida and Kenichi Kamizono and Ryo Shimamoto and Seita Fukushima and Kayo Miyashita and Mioko Matsuo and Ryuji Yasumatsu and Shunichiro Tanaka and Junichi Fukushima",
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AU - Inatomi, Yusuke

AU - Kadota, Hideki

AU - Yoshida, Sei

AU - Kamizono, Kenichi

AU - Shimamoto, Ryo

AU - Fukushima, Seita

AU - Miyashita, Kayo

AU - Matsuo, Mioko

AU - Yasumatsu, Ryuji

AU - Tanaka, Shunichiro

AU - Fukushima, Junichi

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Background: Because of the difficulty of airtight sealing and risk of salivary contamination, negative-pressure wound therapy (NPWT) has rarely been applied for postoperative fistula following head and neck surgery; thus, its utility remains unclear. Methods: We applied NPWT in 34 patients who developed orocutaneous and pharyngocutaneous fistula after head and neck surgery. Here we retrospectively analyzed the utility of NPWT for managing those fistulas. Results: Thirty-two patients (94.1%) underwent NPWT as scheduled without adverse events. In 28 patients (82.4%), fistula closure was completed only by NPWT, and the mean period to fistula closure was 30.4 days. The mean period to closure did not differ significantly between fistulas with (21.7 days) and without (39.1 days) previous irradiation. Conclusions: Airtight sealing can be maintained and postoperative fistula can be closed by NPWT with a high success rate, even after previous irradiation. NPWT is an effective and minimally invasive treatment for postoperative fistula.

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