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Di Stadio A, Gambacorta V, Cristi MC, Ralli M, Pindozzi S, Tassi L, Greco A, Lomurno G, Giampietro R. The use of povidone-iodine and sugar solution in surgical wound dehiscence in the head and neck following radio-chemotherapy. Int Wound J 2019; 16:909-915. [PMID: 30972904 DOI: 10.1111/iwj.13118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Revised: 02/25/2019] [Accepted: 03/12/2019] [Indexed: 11/29/2022] Open
Abstract
Povidone-iodine is known for successfully treating surgical wounds; the combination between povidone-iodine and sugar, also called Knutson's formula, has been proposed to improve wound healing. Currently, no studies have investigated the effects of Knutson's formula to treat defects in wound closure following radio-chemotherapy in the head and neck region. The aim of this study is to evaluate the efficacy of Knutson's formula in improving the wound-healing process in patients who underwent radio-chemotherapy after surgery for head and neck cancer. The study, conducted from August 2013 to January 2017, included a sample of 34 patients (25 males and 9 females; age range: 60-75 years) treated with radio-chemotherapy after head and neck cancer surgery. All patients suffered from defect of wound regeneration. Patients were randomly divided into two groups: patients in the study group (n = 18) were treated with Knutson's formula; patients in the control group (n = 16) were treated with traditional topical drugs. In the study group, 16 of 18 (88.9%) patients reached complete wound closure 1 month after treatment, with no wound infections. In the control group, only three patients (18.7%) showed complete wound closure within a month; in addition, one patient required systemic antibiotic treatment because of supra-bacterial infection of the wound. In our sample, the combination of povidone-iodine and sugar had a higher success rate compared with traditional topical treatment in the treatment of wound defect closure in oncological patients who underwent radio-chemotherapy.
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Affiliation(s)
- Arianna Di Stadio
- Department of Surgery and Biomedical Science, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy
| | - Valeria Gambacorta
- Department of Surgery and Biomedical Science, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy
| | - Maria Cristina Cristi
- Department of Otorhinolaryngology-Head and Neck Surgery, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Massimo Ralli
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Simona Pindozzi
- Surgical Department of Otolaryngology, San Giovanni Battista Hospital, Foligno, Italy
| | - Luigi Tassi
- Surgical Department of Otolaryngology, San Giovanni Battista Hospital, Foligno, Italy
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Giuseppe Lomurno
- Department of Oral Surgery, University of Perugia, Perugia, Italy
| | - Ricci Giampietro
- Department of Surgery and Biomedical Science, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy.,Department of Otorhinolaryngology-Head and Neck Surgery, Santa Maria della Misericordia Hospital, Perugia, Italy
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Debridement Techniques and Non–Negative Pressure Wound Therapy Wound Management. Vet Clin North Am Small Anim Pract 2017; 47:1181-1202. [DOI: 10.1016/j.cvsm.2017.06.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Abstract
There are a plethora of topical and systemic medications available to the veterinary practitioner today that aid the wound healing process. Some of these help to maintain a moist environment. Others increase growth factors, provide local energy sources, control infection, provide for debridement, increase wound blood flow and temperature, or reduce wound edema. Modern wound care requires that the proper products(s)be used, depending on the condition of the wound and the phase of wound healing. This article discusses various wound care products and provides guidelines on their use.
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Affiliation(s)
- D J Krahwinkel
- Department of Small Animal Clinical Sciences, The University of Tennessee College of Veterinary Medicine, C247 Veterinary Teaching Hospital, Knoxville, TN 37996-4544, USA.
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