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Clinical Note
June 20, 2011

Vacuum-Assisted Closure in Revision Free Flap Reconstruction

Author Affiliations

Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2011

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