Choosing the optimal wound dressing for irradiated soft tissue wounds
This article reviews the healing state of the previously irradiated wound, the tenets for optimal wound care, and the choices of wound dressings now available for its management. The goal in assisting a previously irradiated surgical wound to heal is to transform its chronic wound state into an acut...
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| Published in: | Otolaryngology-head and neck surgery Vol. 121; no. 5; pp. 591 - 598 |
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| Main Authors: | , , , |
| Format: | Journal Article Book Review |
| Language: | English |
| Published: |
Los Angeles, CA
Mosby, Inc
01-11-1999
SAGE Publications |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | This article reviews the healing state of the previously irradiated wound, the tenets for optimal wound care, and the choices of wound dressings now available for its management. The goal in assisting a previously irradiated surgical wound to heal is to transform its chronic wound state into an acute wound state. This transformation encourages wound healing to proceed. Six major moisture-retentive dressing categories exist to optimize its healing. They are classified into the alginates, foams, gauzes, hydrogels, hydrocolloids, and transparent films. Optimal wound care management for previously irradiated wounds involves (1) adequately debriding and cleansing the local wound, (2) accurately assessing the wound, (3) choosing the appropriate dressing based on the wound assessment, and (4) encouraging granulation tissue formation and reepithelialization. (Otolaryngol Head Neck Surg 1999;121:591-8.) |
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| Bibliography: | Funded in part by a grant from the NIH National Institute of Dental and Craniofacial Research (no. DE12005) to D.B.H. Presented at the Middle Section of the Triological Society, Minneapolis, MN, January 24, 1998. |
| ISSN: | 0194-5998 1097-6817 |
| DOI: | 10.1016/S0194-5998(99)70062-8 |