title: [The combined application of dissociate skin flap and vacuum sealing drainage on the defect of the large neck neoplasms after surgical procedures].
abstract: OBJECTIVE
  To evaluate the effect of the combined application of dissociate skin flap and vacuum sealing drainage (VSD) for the repairing for defect after surgical management of huge neck neoplasms.
  
  
  METHODS
  Nineteen patients with huge neck malignant tumor involving the skin of the neck were given radical operation, making use of VSD covering the wound surface. After giving 6.65-7.98 mm Hg continuous negative pressure drainage for 72 h, the patients turned to be treated by intermittent negative pressure therapy with 2 min free interval after each treatment period for 5 min. After dismantling the VSD at 7th to 10th day postoperatively, the good wounds covered by granulation tissue were treated by the skin graft operation with dissociate skin flap from thighs; as for the wounds of which the granulation tissue didn't grow well and important cervical tissues was not fully covered by the granulation tissue, VSD was applied again for 1 week, followed by the skin graft operation.
  
  
  RESULTS
  Nineteen patients have received a total of 23 times of VSD wound treatment, one-stage operation time was significantly shortened. The granulation tissue grew faster on the wound after VSD treatment, and the important cervical tissues such as great vessels could be well covered. The infection and tumor recurrence were observed directly after dismantling the VSD. The skin graft transplantation would be performed after 1-3 weeks.
  
  
  CONCLUSIONS
  The treatment by vacuum sealing drainage combined with skin graft for surgical wounds of huge neck tumor postoperatively has the advantages of simple operation, little injury and promotion of the wound healing, which is an effective way for treatment of neck skin defect by surgical operation for the huge tumor.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, No. 303 Hospital of PLA, Nanning 530021, China. zhanglongcheng_303@163.com
authors.forename: Longcheng
authors.initials: L
authors.lastname: Zhang
authors.forename: Chaokun
authors.initials: C
authors.lastname: Quan
authors.forename: Jing
authors.initials: J
authors.lastname: Jiang
authors.forename: Xinran
authors.initials: X
authors.lastname: Lin
authors.forename: Zhengyi
authors.initials: Z
authors.lastname: Tang
authors.forename: Wenbiao
authors.initials: W
authors.lastname: Lin
authors.forename: Sheng
authors.initials: S
authors.lastname: Lu
authors.forename: Ganguan
authors.initials: G
authors.lastname: Wei
authors.forename: Haoying
authors.initials: H
authors.lastname: Chen
authors.forename: Lishan
authors.initials: L
authors.lastname: Hu
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zhao
authors.forename: Yongling
authors.initials: Y
authors.lastname: Li
authors.forename: Yi
authors.initials: Y
authors.lastname: Ren
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps