title: The utility of vacuum-assisted closure therapy for skin necrosis secondary to cervical abscess in the elderly.
abstract: Vacuum-assisted closure (VAC) systems have been used as negative-pressure dressings in various fields, including decubitus ulcer, trauma, and wound dehiscence. To the best of our knowledge, few reports have examined the utility of VAC therapy for neck abscess in an oldest-old patient. We present here a rare case of neck abscess secondary to parotid abscess, resulting in extensive skin necrosis. Successful management included emergency drainage following epithelial induction through a VAC system without using skin grafting. Two months after surgical intervention, the cervical wound was completely healed without a solid scar. We consider the VAC therapy to be a key factor leading to the complete healing in the elderly under low serum albumin condition.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Matsusaka General Hospital, 15-6 Asahimachi 1-ku, Matsusaka, Mie 515-8557, Japan; The First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan. Electronic address: g2787b@dent.osaka-u.ac.jp.
authors.forename: Tadataka
authors.initials: T
authors.lastname: Tsuji
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Matsusaka General Hospital, 15-6 Asahimachi 1-ku, Matsusaka, Mie 515-8557, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Satoh
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Matsusaka General Hospital, 15-6 Asahimachi 1-ku, Matsusaka, Mie 515-8557, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Okuno
authors.affiliation: Department of Oral and Maxillofacial Surgery, Saiseikai Matsusaka General Hospital, 15-6 Asahimachi 1-ku, Matsusaka, Mie 515-8557, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Sobue
authors.affiliation: Department of Radiology, Saiseikai Matsusaka General Hospital, 15-6 Asahimachi 1-ku, Matsusaka, Mie 515-8557, Japan.
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Nishide
authors.affiliation: The First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Tanaka
authors.affiliation: The First Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Kogo
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D010305:Parotid Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents
keywords: Low albumin; Neck abscess; Oldest-old patient; Skin necrosis; Vacuum-assisted closure