Zhang DM, Yang ZH, Zhuang PL, Wang YY, Chen WL, Zhang B, et al.
Journal of oral and maxillofacial surgery : official journal of the American Association of Ora.... Date of publication 2016 Feb 1;volume 74(2):401-5.
1. J Oral Maxillofac Surg. 2016 Feb;74(2):401-5. doi: 10.1016/j.joms.2015.09.012.
Epub 2015 Sep 25.
Role of Negative-Pressure Wound Therapy in the Management of Submandibular
Fistula After Reconstruction for Osteoradionecrosis.
Zhang DM(1), Yang ZH(2), Zhuang PL(3), Wang YY(3), Chen WL(4), Zhang B(5).
Author information:
(1)Attending, Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial
Hospital, Sun Yat-Sen University, Guangzhou, China.
(2)Associate Professor, Department of Oral and Maxillofacial Surgery, Sun Yat-Sen
Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
(3)Lecturer, Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial
Hospital, Sun Yat-Sen University, Guangzhou, China.
(4)Professor, Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial
Hospital, Sun Yat-Sen University, Guangzhou, China.
(5)Professor, Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial
Hospital, Sun Yat-Sen University, Guangzhou, China. Electronic address:
158516636@qq.com.
PURPOSE: Although negative-pressure wound therapy (NPWT) for complicated wounds
has been extensively studied, it is rarely used in cases involving a
submandibular fistula due to radiation-induced osteoradionecrosis of the
mandible. This study aimed to investigate the efficacy of NPWT for submandibular
fistulas after reconstruction for osteoradionecrosis.
PATIENTS AND METHODS: Nine patients with submandibular fistulas after
reconstruction for osteoradionecrosis treated with NPWT between 2011 and 2014
were included in the study. The wound healing was documented.
RESULTS: The NPWT device was removed postoperatively between days 7 and 12 (mean
duration, 9.6 days). The wound bed was filled with healthy granulation tissue,
and successful healing by second intention was observed in all patients within 2
weeks. No complications were observed. The follow-up ranged from 4 to 27 months
(mean, 18 months); the fistulas exhibited excellent healing, and no recurrence or
infection was observed.
CONCLUSIONS: NPWT is a safe, effective technique for managing submandibular
fistulas after reconstruction for osteoradionecrosis.
Copyright © 2016 American Association of Oral and Maxillofacial Surgeons.
Published by Elsevier Inc. All rights reserved.
DOI: 10.1016/j.joms.2015.09.012
PMID: 26452430 [Indexed for MEDLINE]
