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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...

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Related Experiment Video

Updated: May 20, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Published on: August 22, 2025

Vacuum-assisted closure therapy in reconstructive surgery.

A Benech1, F Arcuri, G Poglio

  • 1Maxillofacial Unit, Piemonte Orientale University, Novara, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|July 7, 2012
PubMed
Summary
This summary is machine-generated.

Vacuum-assisted closure (VAC) therapy effectively treats complex maxillofacial wounds, including exposed bone after fibular free flaps. This innovative negative pressure dressing promotes healing and reduces bacterial load.

Keywords:
Fibular free flapMaxillofacial woundSubatmospheric pressureVAC therapy

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Area of Science:

  • Maxillofacial Surgery
  • Wound Healing
  • Negative Pressure Wound Therapy

Background:

  • Vacuum-assisted closure (VAC) therapy, a negative pressure dressing system, has demonstrated success in treating various complicated wounds across multiple surgical specialties.
  • Its application in managing surgical wounds of free flaps, particularly in the maxillofacial region, remains largely underexplored in existing literature.

Observation:

  • This study presents three cases of maxillofacial reconstruction involving exposed bone after fibular free flap surgery, treated with VAC therapy.
  • The VAC system was employed to manage these complex wounds prior to loco-regional flap reconstruction.

Findings:

  • VAC therapy offers advantages over traditional wet-to-dry dressings by reducing edema, managing exudates, promoting debridement, and increasing blood perfusion.
  • The system leads to accelerated wound healing and decreased bacterial colonization, preparing the wound bed for definitive reconstruction.

Implications:

  • VAC therapy represents an innovative approach and a potential standard of care for complex maxillofacial wounds, including those with exposed bone post-free flap surgery.
  • It can facilitate primary wound closure or serve as a crucial preparatory step for subsequent reconstructive procedures.