Experience of Negative Pressure Wound Therapy performed after Surgery for Head and Neck Cancer: A Report of Six Cases

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  • Kushihashi Yukiomi
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry
  • Ikeda Kenichiro
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry
  • Egawa Syunya
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry
  • Hirano Kojiro
    Department of Otorhinolaryngology, Showa University School of Medicine
  • Suzaki Isao
    Department of Otorhinolaryngology, Showa University School of Medicine
  • Mizuyoshi Tomomi
    Department of Otorhinolaryngology, Showa University School of Medicine
  • Kitajima Tatsuya
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine
  • Ando Izumi
    Department of Otorhinolaryngology, Showa University School of Medicine
  • Kobayashi Hitome
    Department of Otorhinolaryngology, Showa University School of Medicine
  • Shimane Toshikazu
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral and maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry

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Other Title
  • 頭頸部癌術後に陰圧閉鎖療法を行った6例の治療経験
  • 手技・工夫 頭頸部癌術後に陰圧閉鎖療法を行った6例の治療経験
  • シュギ ・ クフウ トウケイブガン ジュツゴ ニ インアツ ヘイサ リョウホウ オ オコナッタ 6レイ ノ チリョウ ケイケン

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Abstract

<p>　Negative pressure wound therapy (NPWT) is a treatment that accelerates healing by continuously sucking fluids out of a wound while allowing a moist environment to be maintained at the wound surface by sealing the wound surface. In Japan, health insurance coverage for NPWT became available in 2010 as topical negative pressure therapy in refractory wound management. We undertook NPWT in 6 patients (4 males and 2 females; age range 39-75 years; mean age, 63.0 years; median age: 66.0 years) who underwent surgery for head and neck cancer between October 2014 and November 2017. The primary diseases were tongue cancer (n=4), lower gingival cancer (n=1), and unknown primary cancer (n=1). Although finding a better way to use NPWT is necessary due to the complexity of the head and neck anatomy, all 6 patients were successfully treated for their surgical wounds by NPWT. In this paper, we present a report of the 6 cases of NPWT performed at our medical center, with a review of the relevant literature.</p>

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