심경부감염에 대한 음압상처치료의 적용

박경호; 박안나; 권창윤; 유영삼; 최정환; 조경래; 정의석

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자료유형: 학술저널

저자정보: 박경호 박안나 권창윤 유영삼 최정환 조경래 정의석

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제2호

발행연도: 2016.1

수록면: 125 - 132 (8page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives Negative Pressure Wound Therapy (NPWT) has been used in many surgery to treat complicated wound and impaired wound healing by delivering negative pressure at the wound site through a patented dressing, which helps draw wound edges together, remove infectious materials, and actively promote granulation at the cellular level. Recently application of NPWT has been increased to treat deep neck infection. We aimed to retrieve indications and guidelines to treat deep neck infection from our cases and after reviewing articles. Subjects and Method From our experience with 9 cases presented as deep neck abscess in which the application of a Vacuum-assisted closure device was used instead of common drainage tubes after surgical evacuation and journal review, indications and guidelines to apply NPWT as one of the tools to treat deep neck infection were retrieved. Results Indication and Guideline of NPWT. 1) For simple abscess involving single space excepting the mediastinum, intravenous administration of broad-spectrum antibiotics, needle aspiration or simple surgical drainage is recommended. 2) In the case of failure of previous treatments, NPWT will be necessary for immunocompromised hosts such as diabetic patients for whom more than two spaces are involved, the mediastinal involvement, compromised airway or disseminated intravascular coagulation. In severe cases involving the chest, video-assisted thoracoscopic surgery or mediastinoscopy could be used. 3) For patients with improving signs such as decreasing pus, increasing granulation formation, negative culture results from sponge, and normalized C-reactive protein, we can stop NPWT and convert to the regular wound care. ConclusionZZIndication and Guideline of NPWT could be applied to treat deep neck infection. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(2):125-32

#Deep neck infection ㆍNegative pressure wound therapy.

참고문헌 (20)

참고문헌 신청

Lee YQ / 2011 / Deep neck abscesses: the Singapore experience / Eur Arch Otorhinolaryngol 268(4):609~614

Huang TT / 2004 / Deep neck infection: analysis of 185 cases / Head Neck 26(10):854~860

Boscolo-Rizzo P / 2012 / Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment / Eur Arch Otorhinolaryngol 269(4):1241~1249

Roberson JB / 1996 / Mortality associated with cervicofacial necrotizing fasciitis / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82(3):264~267

Bakir S / 2012 / Deep neck space infections: a retrospective review of 173cases / Am J Otolaryngol 33(1):56~63

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