Optimizing Wound Care after Surgery of the Head and Neck: A Review of Dressing Materials

Peter J.F.M. Lohuis; Felix Maldonado-Chapa; Karla M. Santos-Santillana; Boris Filipović; Richard Dirven; M. Baris Karakullukcku; Luc Karssemakers; Willem H. Schreuder; Charlotte L. Zuur; Jacqueline Timmermans

doi:10.1055/a-2047-6356

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2024; 40(01): 068-079
DOI: 10.1055/a-2047-6356

Original Research

Optimizing Wound Care after Surgery of the Head and Neck: A Review of Dressing Materials

Authors

Peter J.F.M. Lohuis

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

²Department of Facial Plastic and Reconstructive Surgery, Lohuis-Filipović Medial Group, Zagreb, Croatia

³Department of Facial Plastic and Reconstructive Surgery, Bergman Clinics, Hilversum, The Netherlands

⁴Department of Sleep Medicine, Ruysdael Clinics, Amsterdam, The Netherlands
Felix Maldonado-Chapa

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

²Department of Facial Plastic and Reconstructive Surgery, Lohuis-Filipović Medial Group, Zagreb, Croatia
Karla M. Santos-Santillana

²Department of Facial Plastic and Reconstructive Surgery, Lohuis-Filipović Medial Group, Zagreb, Croatia
Boris Filipović

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

²Department of Facial Plastic and Reconstructive Surgery, Lohuis-Filipović Medial Group, Zagreb, Croatia
Richard Dirven

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
M. Baris Karakullukcku

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
Luc Karssemakers

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
Willem H. Schreuder

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
Charlotte L. Zuur

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
Jacqueline Timmermans

¹Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

Abstract

Wound healing is a complex biological process subject to complications that might jeopardize the patient's postoperative care. Appropriately approaching surgical wounds after head and neck surgery positively influences the quality and speed of wound healing and increases patient comfort. A large variety of dressing materials currently exist that allow the care of different types of wounds. Nevertheless, there is limited literature on the most suitable types of dressings after head and neck surgery. The objective of the present article is to review the most commonly used wound dressings, their benefits, indications, and disadvantages, and to provide a systematic approach for wound care within the head and neck. The Woundcare Consultant Society distinguishes wounds into three groups: black, yellow, and red. Each type of wound represents distinctive underlying pathophysiological processes with unique needs. Utilizing this classification along with the TIME model allows a proper characterization of wounds and the identification of potential healing barriers. This evidence-based and systematic approach can facilitate and guide the head and neck surgeon in selecting a wound dressing upon acknowledging their properties, which are herein reviewed and exemplified with representative cases.

Keywords

wound care - surgical wounds - head and neck - dressing material

Full Text

References

References
1 Gurtner GC, Werner S, Barrandon Y, Longaker MT. Wound repair and regeneration. Nature 2008; 453 (7193): 314-321
2 Singer AJ, Clark RA. Cutaneous wound healing. N Engl J Med 1999; 341 (10) 738-746
3 Eming SA, Wynn TA, Martin P. Inflammation and metabolism in tissue repair and regeneration. Science 2017; 356 (6342): 1026-1030
4 Menke NB, Ward KR, Witten TM, Bonchev DG, Diegelmann RF. Impaired wound healing. Clin Dermatol 2007; 25 (01) 19-25
5 Tran HQ, Shahriar SMS, Yan Z, Xie J. Recent advances in functional wound dressings. Adv Wound Care (New Rochelle) 2022; 12 (07) 399-427
6 Schubert S, Marzloff G, Ryder S, Ott K, Hutton J, Becker M. Establishing a comprehensive wound care team and program. Phys Med Rehabil Clin N Am 2022; 33 (04) 805-810
7 Morrell S, Pittman G, Mulcaster A. Wound management provided by advanced practice nurses: a scoping review protocol. JBI Evid Synth 2022; 20 (07) 1806-1813
8 Gaboriau HP, Murakami CS. Skin anatomy and flap physiology. Otolaryngol Clin North Am 2001; 34 (03) 555-569
9 Goslen JB. Wound healing for the dermatologic surgeon. J Dermatol Surg Oncol 1988; 14 (09) 959-972
10 Huang C, Dong L, Zhao B. et al. Anti-inflammatory hydrogel dressings and skin wound healing. Clin Transl Med 2022; 12 (11) e1094
11 Winter GD, Scales JT. Effect of air drying and dressings on the surface of a wound. Nature 1963; 197: 91-92
12 Winter GD. Effect of air exposure and occlusion on experimental human skin wounds. Nature 1963; 200: 378-379
13 Shams F, Moravvej H, Hosseinzadeh S. et al. Overexpression of VEGF in dermal fibroblast cells accelerates the angiogenesis and wound healing function: in vitro and in vivo studies. Sci Rep 2022; 12 (01) 18529
14 Sørensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy: a systematic review. Ann Surg 2012; 255 (06) 1069-1079
15 Quain AM, Khardori NM. Nutrition in wound care management: a comprehensive overview. Wounds 2015; 27 (12) 327-335
16 Baltzis D, Eleftheriadou I, Veves A. Pathogenesis and treatment of impaired wound healing in diabetes mellitus: new insights. Adv Ther 2014; 31 (08) 817-836
17 Zwarts S. Het WCS-classificatiemodel voor lokale wondbehandeling. [The WCS classification for local wound care (Woundcare Consultant Society)] Tijdschr Ziekenverpl 1991; (19) 694-695
18 Krasner D. Wound care: how to use the red-yellow-black system. Am J Nurs 1995; 95 (05) 44-47
19 Winter GD. Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig. Nature 1962; 193: 293-294
20 Koopman-Kuijl CA, de Goederen-Geleijnse MMT. Wondbedpreparatie model deel 1. WCS Nieuws. 2015; 31: 42-46
21 Brölmann FE, Vermeulen H, Go PMNYH, Ubbink DT. 2013 Richtlijn ‘Wondzorg’. Evidence-based richtlijn van wonden met een acute etiologie. Concept richtlijn.
22 Hess CT. Clinical Guide To Skin And Wound Care. 7th ed.. Philadelphia: Lippincott Williams & Wilkins; 2012
23 Sinha SN, Free B, Ladlow O. The art and science of selecting appropriate dressings for acute open wounds in general practice. Aust J Gen Pract 2022; 51 (11) 827-830
24 Alinezhad Sardareh E, Shahzeidi M, Salmanifard Ardestani MT, Mousavi-Khattat M, Zarepour A, Zarrabi A. Antimicrobial activity of blow spun PLA/gelatin nanofibers containing green synthesized silver nanoparticles against wound infection-causing bacteria. Bioengineering (Basel) 2022; 9 (10) 518
25 Alvarez-Suarez JM, Gasparrini M, Forbes-Hernández TY, Mazzoni L, Giampieri F. The composition and biological activity of honey: a focus on manuka honey. Foods 2014; 3 (03) 420-432
26 Mavric E, Wittmann S, Barth G, Henle T. Identification and quantification of methylglyoxal as the dominant antibacterial constituent of Manuka (Leptospermum scoparium) honeys from New Zealand. Mol Nutr Food Res 2008; 52 (04) 483-489
27 Vowden K, Vowden P. Wound dressings: principles and practice. Surgery 2014; 32 (09) 462-467
28 Rodeheaver GT, Halverson JM, Edlich RF. Mechanical performance of wound closure tapes. Ann Emerg Med 1983; 12 (04) 203-207
29 Russell NS, Hoving S, Heeneman S. et al. Novel insights into pathological changes in muscular arteries of radiotherapy patients. Radiother Oncol 2009; 92 (03) 477-483