Application of vacuum sealing drainage in submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumors ablation

Shanghai Journal of Stomatology ›› 2015, Vol. 24 ›› Issue (5): 452-455.

• Clinical Study • Previous Articles Next Articles

Application of vacuum sealing drainage in submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumors ablation

ZHANG Da-ming, WANG You-yuan, LIANG Qi-xiang, LIN Zhao-yu, CHEN Wei-liang, ZHANG Bin

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2014-08-19 Revised:2014-09-29 Online:2015-10-20 Published:2015-11-03
Contact: E-mail:lpg53372083@163.com

Abstract

Abstract: PURPOSE:To assess the reliability and usefulness of vacuum sealing drainage (VSD) in submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumor ablation. METHODS: Twelve submandibular fistulas were randomly divided into the experimental group and control group. The experimental group were given VSD treatment, while the control group was given conventional treatment combined with rhEGF treatment. RESULTS: The VSD were removed after one week of treatment in the experimental group, the fistula was convergent and full of benign granulation tissue. The patients were followed up for 4-14 months, the fistula was closed and the wound healed well. The fistula in the control group was closed after 15 days to 3 months of treatment and the wound healed after 3-21 months. CONCLUSIONS: VSD is an effective method for treatment of submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumor ablation.

Key words: Vacuum sealing drainage, Submandibular fistula, Free flap, Pedicled flap

ZHANG Da-ming, WANG You-yuan, LIANG Qi-xiang, LIN Zhao-yu, CHEN Wei-liang, ZHANG Bin. Application of vacuum sealing drainage in submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumors ablation[J]. Shanghai Journal of Stomatology, 2015, 24(5): 452-455.

References

[1] Lee DW, Chung S, Lee WJ, et al. Use of a collagen patch for management of pharyngocutaneous fistula after hypopharyngeal reconstruction [J]. J Craniofac Surg, 2010, 21(6): 1674-1676.
[2] Sharon-Buller A, Sela M. An acrylic resin prosthesis for obturation of an orocutaneous fistula [J]. J Prosthet Dent, 2007, 97(3): 179-180.
[3] Karakullukcu MB, Lohuis PJ, van den Brekel MW, et al. Sealing of small postlaryngectomy pharyngocutaneous fistulas with voice prosthesis [J]. Laryngoscope, 2010, 120(10): 1971-1973.
[4] Yang ZH, Zhang DM, Chen WL, et al. Reconstruction of through-and-through oral cavity defects with folded extended vertical lower trapezius island myocutaneous flap [J]. Br J Oral Maxillofac Surg, 2013, 51(8): 731-735.
[5] Fleischmann W, Strecker W, Bombelli M, et al. Vacuum sealing as treatment of soft tissue damage in open fractures[J]. Unfallchirurg, 1993, 96(9): 488-492.
[6] Chen S, Li J, Li XY, et al. Effects of vacuum-assisted closure on wound microcirculation: an experimental study[J]. Asian J Surg, 2005, 28(3): 211-217.
[7] Morykwas MJ, Argenta LC, Shelton Brown EL, et a1. Vacuum- aasisted closure: a new method for wound control and treatment: animal studies and basic foundation [J]. Ann Plast Surg,1997,38(6): 553-562.
[8] 吕小星, 陈绍宗, 李学佣. 封闭负压引流技术对创周组织水肿及血管通透性的影响[J]. 中国临床康复,2003, 7(8):1244-1245.
[9] 舒茂国, 易成刚, 韩岩, 等. 机械应力刺激对培养的人成纤维细胞分泌生长因子的影响 [J]. 中国美容医学, 2008, 17(5): 689-691.
[10] Reichek J. Mechanotransduction of keratinocytes in culture and in the epidermis [J]. Eur J Cell Biol, 2007, 86(11-12): 807-816.
[11] Webb K, Hitchcock RW, Smeal RM, et al. Cyclic strain increases fibroblast proliferation, matrix accumulation, and elastic modulus of fibroblast-seeded polyurethane constructs[J]. J Biomech, 2006, 39(6): 1136-1144.
[12] 李善友, 郝岱峰, 李涛. 负压封闭引流技术治疗对压疮创面组织细菌量的影响 [J]. 中华损伤与修复杂志(电子版), 2014, 9(1): 57-58.
[13] Albertyn R, Bickler SW, Rode H. Pediatric burn injuries in Sub Saharan Africa-an overview [J]. Burns, 2006, 32(5): 605-612.
[14] Lavrentieva A, Kontakiotis T, Lazaridis L, et al. Inflammatory markers in patients with severe burn injury. What is the best indicator of sepsis? [J]. Burns, 2007, 33(2): 189-194

Application of vacuum sealing drainage in submandibular fistula after reconstruction with free or pedicled flap following maxillofacial malignant tumors ablation

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