Journal of Oral Science Research ›› 2024, Vol. 40 ›› Issue (9): 793-796.DOI: 10.13701/j.cnki.kqyxyj.2024.09.007

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Retrospective Study on Application of High-negative Pressure Drainage Bottle in Postoperative Removal of Maxillofacial Tumors

HU Zelong1, LI Peibo1, XIE Yuchong2, LI Ran1, LI Bingyan1, LI Rui1*   

  1. 1. Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China;
    2. School of Public Health, Jinzhou Medical University, Jinzhou 121001, China
  • Received:2024-02-19 Online:2024-09-28 Published:2024-09-25

Abstract: Objective: To retrospectively analyze the complications and economic benefits of using high-negative pressure drainage bottles versus low-negative pressure drainage drums in patients undergoing maxillofacial tumor resection. Methods: A retrospective analysis was conducted on patients with maxillofacial tumors between December 1, 2021, and May 31, 2022. Based on the treatment received, 123 patients were divided into two groups: the high pressure negative pressure wound therapy (HP-NPWT) group (≤-15 kPa, n=79) and the low pressure negative pressure wound therapy (LP-NPWT) group (≥5.2 kPa, n=44). Clinical outcome data, including postoperative complications, length of hospital stay, and surgical and treatment costs, were analyzed. Results: Among 44 patients in the low-pressure group, 17 patients had wound infections, resulting in a wound infection rate of 38.64%. In contrast, among 79 patients in the high-pressure drainage group, only 3 patients had infections, yielding a wound infection rate of 3.8% (P<0.001). Regarding flap transplantation, the incidence of flap necrosis in the low-pressure group was 9.09%, while no cases of flap necrosis occurred in the high-pressure group (P<0.05). Conclusion: The incidence of complications in patients undergoing maxillofacial tumor resection surgery with high-negative pressure suction drainage is significantly lower compared to low-negative pressure suction drainage.

Key words: maxillofacial tumor, negative pressure wound therapy, level of negative pressure, surgical prognosis