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Related Experiment Video

Updated: May 7, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Negative pressure dressing around the airway.

James Johnston¹, Felix Mariano, David Vokes

¹ORL Head and Neck Surgery Department, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand. jamesjordanjohnston@gmail.com.

The New Zealand Medical Journal

|September 19, 2013

Summary

Negative pressure wound therapy (NPWT) effectively heals wounds but faces challenges in the head and neck. A novel NPWT system using a tracheostomy tube successfully treated a complex laryngectomy stoma wound.

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Area of Science:

Wound healing research
Medical device innovation
Surgical reconstruction

Background:

Negative pressure wound therapy (NPWT) accelerates healing but presents challenges in head and neck complex wounds.
Managing wounds around laryngectomy or tracheostomy sites with NPWT has been difficult.
Existing NPWT dressings are limited in head and neck applications.

Observation:

A case study involving a patient with a laryngectomy stoma and adjacent defect was presented.
A novel dressing system was employed for wound closure.
This system integrated Aekin cohesive circular dressings, a Shiley cuffed tracheostomy tube, and an NPWT device.

Findings:

The novel NPWT dressing system successfully closed the complex wound in ten days.
The combined use of a tracheostomy tube and specialized dressing enabled effective negative pressure application around the airway.
This approach overcame previous limitations of NPWT in the head and neck region.

Implications:

This case demonstrates a viable solution for NPWT application in challenging head and neck wounds.
The described technique offers a new method for managing peri-stomal defects.
Further research into specialized NPWT systems for airway-adjacent wounds is warranted.