gms | German Medical Science

77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

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The interfascial pressure assessment in neck oncological surgery

Meeting Abstract

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  • corresponding author Jan Mejzlik - ENT dpt. Pardubice, Pardubice, Czech Rep.
  • Arnost Pellant - Institut of Health Studies University of Pardubice, Pardubice, Czech Republic

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 77. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hnod125

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2006/06hnod125.shtml

Published: April 24, 2006

© 2006 Mejzlik et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Wound healing in extensive neck onkological surgery is provided by the range of pathophysiological processes. Tissular ischemia in the level of capillary can appear as the result of different factors. Suitable prevention of the stage is based on the experiences of the medical staff - vacuum drainage duration, pressure of the bandage and redressements frequency etc.

Method: Simple protocol of interfascial pressure measurement and assessment was created and the prospective randomized study has been started. Measurement probes - Codman Microsensor were implanted during operations in to the operated field. This type of probes was designed exclusively for the intensive medicine for monitoring of intracranial hypertension. Sensors were connected to Codman Intracranial Pressure Express. The pressure of the neck soft tissues was monitored two days.

Conclusion: Discussed method seems to be suitable for the exact tissular pressure measurement. But the high acquisition costs keep it from becoming widespread.

Supported by grant IGA MZ CR NR 8387.