Vacuum-assisted closure device system (VAC) in complex head and neck wounds

Abstract

Objectives: Chronic complicated wounds represent a major health burden and a drain on resources. In the head and neck, they can also be cosmetically and functionally disabling. Over the past decade the vacuum-assisted closure device system (VAC) has become increasingly useful in the treatment of complex and nonhealing wounds of the trunk and extremities. However, the VAC system has not been previously reported in the treatment of head and neck wounds. Methods: A retrospective case series of patients is reviewed. The VAC device was incorporated in the management of 3 different patients with complicated head and neck wounds. The treatment guidelines and results are discussed. Results: All patients had either a large and/or infected wounds. There was a significant decrease in wound size after application of the VAC. This led to simplification of the surgical closure as well as a decrease in local morbidity. The requirement for skilled nursing wound care was also decreased. Favorable cosmetic results were established in all cases. Conclusion: The VAC device is a useful and effective tool in the management of patients with complex head and neck wounds. Its use in selected patients can decrease morbidity and improve functional and cosmetic results. Expanded applications should be further evaluated.