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Updated: Apr 28, 2026

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Facial nerve function preservation with vacuum-assisted closure.

Gary Linkov1, Jennifer Cracchiolo, Allen F Fielding

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Vacuum-assisted closure (VAC) therapy effectively treats facial necrotizing fasciitis, promoting granulation and preserving facial nerve function. This innovative approach demonstrates VAC

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Area of Science:

  • Plastic Surgery
  • Wound Care
  • Neurology

Background:

  • Vacuum-assisted closure (VAC) therapy is established for various wounds, enhancing blood flow and granulation while reducing infection.
  • Its application in head and neck regions, particularly for facial nerve preservation, remains underexplored.

Observation:

  • A case study involving a 64-year-old female with necrotizing fasciitis of the face, neck, and upper chest.

Findings:

  • Following debridement, the patient's exposed facial nerve was treated with a VAC dressing.
  • Complete granulation was observed by postoperative day 7, with successful preservation of facial nerve function.

Implications:

  • This case demonstrates VAC therapy's efficacy in managing complex head and neck infections and promoting wound healing.
  • It is the first report showing VAC therapy's ability to maintain neural function when applied directly to cranial nerves, highlighting its potential in neurosurgical and reconstructive procedures.