Bach Christine A, Guilleré Lia, Yildiz Sinasi, Wagner Isabelle, Darmon Serge, Chabolle Frédéric
Hôpital Foch, Service de Chirurgie ORL et Cervico-faciale, Suresnes, Paris, France.
Université de Versailles Saint-Quentin en Yvelines, UFR de Médecine Paris Ouest Saint-Quentin en Yvelines, Paris, France.
Head Neck. 2016 May;38(5):696-9. doi: 10.1002/hed.23952. Epub 2015 Jun 20.
Evaluation of the efficacy of negative pressure wound therapy in fibula free flap donor site management in head and neck cancer.
We conducted a single-center retrospective study from 2007 to 2013 comparing fibula free flap donor site healing time after conventional bolster dressing or negative pressure wound therapy.
Thirteen patients were treated by conventional dressing and 16 patients were treated by negative pressure wound therapy. The mean graft loss rate was higher in the bolster group (37%) than in the negative pressure wound therapy group (19%). The mean total healing time was significantly shorter in the negative pressure wound therapy group than in the bolster group (67 days vs 163 days; p = .02).
The use of negative pressure wound therapy for fibula free flap donor site management facilitates early patient mobilization, ensures better graft acceptance, and significantly decreases the healing time.
评估负压伤口治疗在头颈部癌游离腓骨瓣供区处理中的疗效。
我们进行了一项单中心回顾性研究，比较2007年至2013年间常规加压包扎或负压伤口治疗后游离腓骨瓣供区的愈合时间。
13例患者接受常规包扎治疗，16例患者接受负压伤口治疗。加压包扎组的平均移植失败率（37%）高于负压伤口治疗组（19%）。负压伤口治疗组的平均总愈合时间显著短于加压包扎组（67天对163天；p = 0.02）。
在游离腓骨瓣供区处理中使用负压伤口治疗有助于患者早期活动，确保更好的移植接受度，并显著缩短愈合时间。
