Marouf Azmi, Mortada Hatan, Khedr Banan, Halawani Lamis, Zino Alarki Subhi M K, Alghamdi Hisham
Department of Otolaryngology-Head & Neck Surgery, School of Medicine, Case Western Reserve University and University Hospital Cleveland Medical Center, Cleveland, OH 44106, United States.
Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University and Department of Plastic Surgery & Burn unit, King Saud Medical City, Riyadh, Saudi Arabia.
Br J Oral Maxillofac Surg. 2022 Oct;60(8):1005-1011. doi: 10.1016/j.bjoms.2022.04.003. Epub 2022 Apr 18.
To our knowledge this is the first systematic review of the immediate application of negative pressure wound therapy (NPWT) to the head and neck in free flap reconstruction. We conducted a systematic search of the PubMed and Cochrane databases in October 2021 using the MeSH terms 'negative pressure wound therapy', 'free flaps', 'microsurgery', and 'vacuum-assisted closure'. Included studies evaluated the use of immediate NPWT in head and neck free flap reconstruction. Outcomes, indications, monitoring, and reported complications were retrieved. Of the 908 articles searched, nine published between 2000 and 2021 were included: four retrospective studies and five case series. NPWT was applied to 56 free flaps, and 54 had successful outcomes. The most common reported indication for flap reconstruction was malignancy. NPWT has the potential to be a valuable tool for complicated wounds, and further studies are needed to quantify functional and aesthetic outcomes.
据我们所知，这是首次对负压伤口治疗（NPWT）在游离皮瓣重建中对头颈部的即时应用进行的系统评价。我们于2021年10月使用医学主题词“负压伤口治疗”、“游离皮瓣”、“显微外科手术”和“真空辅助闭合”对PubMed和Cochrane数据库进行了系统检索。纳入的研究评估了即时NPWT在头颈部游离皮瓣重建中的应用。检索了结果、适应症、监测情况及报告的并发症。在检索的908篇文章中，纳入了2000年至2021年发表的9篇文章：4篇回顾性研究和5篇病例系列。NPWT应用于56个游离皮瓣，54个获得成功结果。报道的皮瓣重建最常见适应症是恶性肿瘤。NPWT有可能成为治疗复杂伤口的有价值工具，需要进一步研究来量化功能和美学效果。
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