Here - EWMA 2013

E-POSTER: CASE STUDY
E-Poster: Case Study
EP 554
Topical ozone and chronic wounds: Improper use of therapeutic
tools may delay wound healing
Gunalp Uzun 1 , Mesut Mutluoglu 1 , Ercan Karabacak 1 , Huseyin Karagoz 1 , Hakan Ay 1
1 GATA Haydarpasa Teaching Hospital Department of Underwater and Hyperbaric
Medicine (İstanbul, Turkey)
Aim: We present a patient with multiple non-healing lower extremity ulcers, and further
discuss the inappropriate use of topical ozone therapy and the need for a
comprehensive approach to wound management.
Methods: A 40-year-old male patient applied to our hyperbaric and wound care center
for multiple non-healing necrotic ulcers over his legs. Ulcers occurred around his ankles
three months ago and spread proximally thereafter, despite topical antibiotic therapy and
gauze dressings delivered at a local hospital. Sunk into despair, he was attracted from
flyers advertising ozone therapy for chronic wounds. Thus, during the following four
weeks, he received several topical ozone therapy sessions, which yielded no further
significant signs of improvement. Eventually, he was suggested bilateral lower extremity
amputation by a surgeon. On physical examination, he had multiple, necrotic, and
infected deep ulcers in variable sizes reaching tendons in some areas.
Results: We hospitalized the patient and undertook a holistic approach comprising
aggressive anti-edema treatment, culture-driven intravenous antibiotic regimen, and
comprehensive daily wound care, including debridement of necrotic tissues and
management of exudates. All ulcers of both legs almost totally epithelized in 8 weeks.
Conclusion: This case report highlights two major issues. First, the role of ozone
therapy is still poorly defined in the management of foot ulcers and should be used with
caution. Second, adjunctive therapies should only be applied when conventional
treatments fail to heal the wound.
EP 555
E-Poster: Case Study
Negatively Charged Microspheres- (NCM) Technology* for The
Treatment of Post Aesthetic Surgery Complications
Haik Josef 1 , Winkler Eyal 1 , Farber Nimrod 1 , Harats Moti 1 , Weissman Oren 1
1 Sheba Medical Center, Department of plastic and Reconstructive Surgery and The Burn
Unit (Ramat Gan, Israel).
Background: Complications following aesthetic procedures such as lower T-junction
wound dehiscence following breast reduction surgery, or flap necrosis following a facelift
procedure are vexing and grievous complications both to the patient and the surgeon.
Treatment modalities that can actively expedite wound healing rates in such cases are
highly craved.
Objectives: To assess wound healing and re-epithelialization rates of open wound
treated by Negatively Charged Microspheres (NCM), following breast reduction and
mastopexy wound dehiscence and flap necrosis following facelift procedures.
Methods: Eight patients with wounds of the aforementioned types (5 breast reduction
patients and 3 facelift patients) were treated with daily dressing with NCM soaked
dressings. Wound closure rates were documented.
Results: Treatment duration averaged 10 days in the facelift cases and 33 days for
breast cases. Wounds showed both accelerated granulation tissue formation, and reepithelialization
rates. Average wound epithelialization rate was 1.9 millimeters per day
for breast cases and 1 millimeters per day for the facelift cases. In these cases, NCM
treatment helped patients avoid additional surgery such as skin grafting. No
complications or side effects were encountered.
Conclusions: NCM treatment may offer a new and efficacious way to heal open wounds
following aesthetic surgery complications. Furthermore, NCM may help avoid the need
for additional reconstructive procedures which would have been quite a problem to the
patient and the surgeon in the wake of aesthetic surgery complications. Further
researches with larger patient numbers are warranted to corroborate these findings.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
313