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Clinical Note
June 20, 2011

Vacuum-Assisted Closure in Revision Free Flap Reconstruction

Author Affiliations

Author Affiliations: Division of Head and Neck Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, and Department of Otology and Laryngology, Harvard Medical School, Boston (Drs Kakarala, Lin, and Deschler); and Division of Head and Neck Surgery, Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland (Dr Richmon).

Arch Otolaryngol Head Neck Surg. 2011;137(6):622-624. doi:10.1001/archoto.2011.74

Since their introduction in 1997, vacuum-assisted closure (VAC) dressings have found widespread use in the treatment of complicated surgical and traumatic wounds.1 The VAC system consists of a porous foam and overlying occlusive dressing to which subatmospheric pressure is applied. The VAC dressing has many beneficial effects on wound healing, including increased tissue perfusion, decreased wound edema and bacterial counts, and microdebridement of nonviable tissue. Healthy vascularized granulation tissue forms in the wound bed, allowing for more rapid healing than with conventional dressings.1,2

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