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구강암 수술 후 발생한 구강 경부 누공(orocutaneous fistula) 치료 시 진공 음압 폐쇄(vacuum-assisted closure) 시스템을 이용한 상처 치료

Postoperative orocutaneous fistula closure using a vacuum-assisted closure system: a case report

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초록

Fleischmann et al. first described the concept of using sub-atmospheric pressure to treat open or infected wounds in 1993. Since then, Argenta and Morykwas developed subatmospheric, or negative pressure dressings in 1997 as a means of managing complicated wounds. Since its introduction in 1997, the vacuum-assisted closure (VAC) system has been used widely in general plastic surgery, general surgery, and orthopedic surgery to manage complicated wounds of the torso and extremities. However, there is a paucity of literature describing its use in the head and neck region, particularly in oral and maxillofacial surgery. We report a successful case of postoperative orocutaneous fistula closure using a VAC system in a 59-year male with a review of the relevant literature.

Abstract

Fleischmann et al. first described the concept of using sub-atmospheric pressure to treat open or infected wounds in 1993. Since then, Argenta and Morykwas developed subatmospheric, or negative pressure dressings in 1997 as a means of managing complicated wounds. Since its introduction in 1997, the vacuum-assisted closure (VAC) system has been used widely in general plastic surgery, general surgery, and orthopedic surgery to manage complicated wounds of the torso and extremities. However, there is a paucity of literature describing its use in the head and neck region, particularly in oral and maxillofacial surgery. We report a successful case of postoperative orocutaneous fistula closure using a VAC system in a 59-year male with a review of the relevant literature.

참고문헌 (14)

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  12. Armstrong DG, "Outcomes of subatmospheric pressure dressing therapy on wounds of the diabetic foot", Ostomy Wound Manage, 48, pp.64~68 (2002)
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  14. Venturi ML, "Mechanisms and clinical applications of the vacuum-assisted closure (VAC) Device: a review", Am J Clin Dermatol, 6, pp.185~194 (2005)

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