Acute otitis externa because of negative pressure wound therapy applied over the head and ear canal for scalping treatment.

• 影响指数: 3.099
• 发表时间: Apr 2019
• 来源期刊: Int Wound J
• DOI: 10.1111/iwj.13012
• PMID: 30379394
• 文章类型: Case Reports
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Castro JCD,Coltro PS,Jorge JLG,Farina Junior JA

关键词: acute otitis externa; negative pressure wound therapy; scalp reconstruction; scalping

Mesh: Adult; Anti-Inflammatory Agents / therapeutic use; Ear Canal / surgery; Female; Humans; Negative-Pressure Wound Therapy / adverse effects; Otitis Externa / drug therapy etiology; Reconstructive Surgical Procedures / adverse effects; Scalp Dermatoses / surgery; Treatment Outcome

Abstract

Scalping is considered a complex wound with difficult treatment, requiring early surgical intervention, reconstructive plastic surgery, and a multidisciplinary team. The reconstruction of the scalp frequently requires a combination of therapies, including temporary coverage, such as negative pressure wound therapy (NPWT). Complications of NPWT, such as bleeding, infection, and pain, have been described. However, there is no report of acute otitis externa (AOE) because of NPWT. In this article, we present an unprecedented clinical case - a female patient who developed AOE after scalping treatment with NPWT applied over the head and ear canal. We consider that it may be a result of the direct physical action of subatmospheric pressure, the presence of dressing covering the external meatus, and alteration of the bacterial population.