Negative-Pressure Wound Therapy for Ludwig's Angina: A Case Series

Area of Science:

• Medicine
• Surgery
• Wound Care

Background:

• Negative-pressure wound therapy (NPWT) is established for complex wounds.
• Limited data exists on NPWT for head and neck wounds.
• High incidence of dental infections like Ludwig's Angina in West Virginia necessitates effective treatments.

Purpose of the Study:

• To describe the application of NPWT for deep neck infections.
• To evaluate the efficacy and outcomes of NPWT in this patient population.

Main Methods:

• A case series of 2 patients with submental infections extending to the lateral neck.
• Application of vacuum-based therapy combined with antibiotic therapy.
• Wound closure monitored for less than 14 days during hospitalization.

Main Results:

• Both patients achieved clean, efficient wound closure with NPWT.
• Excellent cosmetic outcomes with minimal tissue contracture or hypertrophy observed during follow-up.
• NPWT demonstrated benefits including decreased edema, improved perfusion, and increased granulation.

Conclusions:

• NPWT is effective for the initial closure of complex wounds from deep neck infections.
• This approach offers a promising solution for patients in regions with limited dental care access.
• NPWT facilitates rapid wound healing and positive aesthetic results in head and neck infections.