Pereira Silvia, Malta Wilson, Canha António, Polónia José
General Surgery Service, Department of Surgery, Santo António Hospital-Oporto Hospital Centre, Oporto, Portugal.
General Surgery Service (Extradigestive Unit), Department of Surgery, Santo António Hospital-Oporto Hospital Centre, Oporto, Portugal.
J Surg Case Rep. 2017 Jul 4;2017(7):rjx122. doi: 10.1093/jscr/rjx122. eCollection 2017 Jul.
Management of complicated wounds is a challenge in head and neck reconstruction. Although the negative pressure wound therapy or wound vacuum-assisted closure has been widely used in complicated wounds and shows promising results, its application in the head and neck region after reconstruction for the head and neck cancer is rarely presented. A 77-year-old woman underwent a radical resection of an extensive basal cell carcinoma of the scalp and forehead involving the periosteum, where classic reconstruction was difficult, but successfully treated with negative pressure wound therapy. Negative pressure wound therapy is an efficacious tool in cases of complex and extensive defects, when we expect immediate reconstruction with poor results, as would be probable with this scalp lesion.
复杂伤口的处理是头颈部重建中的一项挑战。尽管负压伤口治疗或伤口真空辅助闭合已广泛应用于复杂伤口并显示出良好效果，但其在头颈部癌症重建术后头颈部区域的应用却鲜有报道。一名77岁女性接受了头皮和前额广泛基底细胞癌的根治性切除，病变累及骨膜，经典重建方法难以实施，但通过负压伤口治疗成功治愈。当预期立即重建效果不佳时，如该头皮病变可能出现的情况，负压伤口治疗是处理复杂和广泛缺损病例的有效工具。
