Sustained negative pressure drainage for treatment of severe maxillofacial and neck space infection
10.7518/hxkq.2015.04.014
- VernacularTitle:持续负压引流术治疗严重颌面颈部间隙感染的探讨
- Author:
Gongjie ZHANG
1
;
Songjun CHEN
;
Min ZHENG
;
Xiaoli WU
;
Jie YU
Author Information
1. 浙江省舟山医院口腔科
- Keywords:
maxillofacial and neck;
space infection;
negative pressure drainage
- From:
West China Journal of Stomatology
2015;(4):393-396
- CountryChina
- Language:Chinese
-
Abstract:
Objective??This?study?observed?the?curative?effect?of?sustained?negative?pressure?drainage?application?on?treat-ment?of?severe?maxillofacial?and?neck?space?infection. Methods??Incision?and?drainage?were?performed?to?treat?18?patients?with?severe?maxillofacial?and?neck?space?infection.?A?small?incision?was?made?on?the?site?of?the?most?obvious?swelling?or?fluc-tuations,?and?localized?negative?pressure?was?applied?with?a?drainage?device?on?the?wound?during?suturing.?Results??Among?the?18?patients,?14?were?healed,?whereas?4?underwent?dehiscence?of?the?wound?after?the?operation.?Negative?pressure?was?lost?as?the?drainage?tubes?were?removed,?and?non-negative?pressure?drainage?method?was?used?instead.?During?the?negative?pressure?treatment,?swelling?and?pain?did?not?increase?after?the?operation.?Other?complications,?such?as?asphyxia,?septic?shock,?or?medias-tinal?abscess,?did?not?occur.?All?the?patients?were?healed?and?eventually?discharged?from?the?hospital.?Conclusion??Sustained?negative?pressure?drainage,?which?is?a?modified?version?of?the?traditional?method?of?incision?and?drainage,?is?an?alternative?treatment?for?severe?maxillofacial?and?neck?space?infection.?Such?treatment?reduces?patient?pain?and?eases?doctor?exertion.?Thus,?this?method?provides?a?new?therapeutic?strategy?for?severe?maxillofacial?and?neck?space?infection.
