書誌事項
- タイトル別名
-
- A case of an uncontrollable fistula after incisional drainage of submandibular necrotizing fasciitis treated by Negative Pressure Wound Therapy with a V.A.C.<sup>®</sup> ATS system
- 顎下部壊死性筋膜炎に伴う切開排膿後の難治性瘻孔にV.A.C. ATS治療システムによる局所陰圧閉鎖療法を用いた1例
- アゴ カブ エシセイキンマクエン ニ トモナウ セッカイハイノウ ゴ ノ ナンチセイロウコウ ニ V.A.C. ATS チリョウ システム ニ ヨル キョクショ インアツ ヘイサ リョウホウ オ モチイタ 1レイ
この論文をさがす
抄録
Necrotizing fasciitis is treated by incisional drainage or immediate debridement. Generally, an infected wound should not be sutured or closured, but should be allowed to secondarily heal as an open wound. Treatment of necrotizing fasciitis involving the neck or submandibular region requires careful attention to major blood vessels or nerves. We therefore could not perform debridement radically. The wound should be continuously irrigated or applied ointment, but the presence of a fistula sometimes leads to prolonged wound healing.<BR>We describe our experience with an uncontrollable fistula attributed to debridement of submandibular necrotizing fasciitis, although irrigation had been continued for 6 weeks. After performing Negative Pressure Wound Therapy, with a V.A.C.® ATS system good granulation tissue proliferated in 3 days, and the fistula disappeared. The wound completely healed in 1 week. Furthermore, the clinical course has been good, with no recurrence of a fistula after 3 months. We report a case of early healing of an uncontrollable fistula treated by a V.A.C.® ATS system.
収録刊行物
-
- 日本口腔外科学会雑誌
-
日本口腔外科学会雑誌 60 (2), 71-75, 2014
社団法人 日本口腔外科学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390282681508271744
-
- NII論文ID
- 130005067155
-
- NII書誌ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL書誌ID
- 025299540
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可
