Abstract

MUNOZ MARTIN, Raúl et al. Wound in face and neck after carcinoma surgery. Gerokomos [online]. 2017, vol.28, n.3, pp.163-165. ISSN 1134-928X.

89 years old woman, who suffered surgical wound infection and necrosis of cutaneous flap after excision of squamous cell carcinoma located on the left cheek. In the hospital she received intravenous antibiotics and local sugar, being discharged afterwards. The patient had signs of pain. In the exploration, two wounds were observed: left cheek and ipsilateral neck, with raised wound bed, abundant exudate and presence of slough and biofilm. The initial treatment included use of polyhexamethylbiguanide, hydrocolloid hydrofibre with silver and foam dressing, applied with adhesive paper because of the fragility of the periwound skin, changed afterwards to a siliconized dressing. The wound has a good evolution, presenting a decrease of pain, exudate and size of the wounds, disappearing slough and biofilm in the first weeks. The wound closed three months after discharging. The scar caused secondary retraction at the corners of the left eye, preventing its complete closure, which maintained a conservative management.

Keywords : surgical wound dehiscence; infection; necrosis; squamous cell carcinoma; nursing.

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