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구강암 수술 후 발생한 구강 경부 누공(orocutaneous fistula) 치료 시 진공 음압 폐쇄(vacuum-assisted closure) 시스템을 이용한 상처 치료

Postoperative orocutaneous fistula closure using a vacuum-assisted closure system: a case report

  • 이승준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 권진일 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 임경민 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 남웅 (연세대학교 치과대학 구강악안면외과학교실)
  • Lee, Seung-June (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kwon, Jin-Il (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lim, Kyung-Min (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 투고 : 2010.07.08
  • 심사 : 2010.10.20
  • 발행 : 2010.10.29

초록

Fleischmann et al. first described the concept of using sub-atmospheric pressure to treat open or infected wounds in 1993. Since then, Argenta and Morykwas developed subatmospheric, or negative pressure dressings in 1997 as a means of managing complicated wounds. Since its introduction in 1997, the vacuum-assisted closure (VAC) system has been used widely in general plastic surgery, general surgery, and orthopedic surgery to manage complicated wounds of the torso and extremities. However, there is a paucity of literature describing its use in the head and neck region, particularly in oral and maxillofacial surgery. We report a successful case of postoperative orocutaneous fistula closure using a VAC system in a 59-year male with a review of the relevant literature.

키워드

참고문헌

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