Diagnosis

Early diagnosis of postoperative fistula is imperative to prevent excessive breakdown or spillage along the wound. Fistu-lae that occur within approximately 1 week postoperatively generally reflect factors relating to poor wound healing, while those occurring within approximately 2 to 3 weeks may reflect persistent cancer. The intraoral and neck suture lines should be examined carefully for evidence of nonhealing. Erythema, firmness, or tenderness of the skin flaps may indicate early infection or hematoma formation. Temperature spikes, leukocytosis, and oral or wound malodor may also be an early sign of fistula formation.

With these signs and symptoms, the suture line should be opened under sterile conditions in the area of greatest erythema and swelling. It is essential that the wound be opened as far away from the carotid artery, tracheostoma, and underlying microvascular anastomosis as possible. Gentle palpation will usually confirm the diagnosis of a localized infection. The presence of a fistula may be detected by visualization of saliva or palpation of a tract. A swallow test with Methylene Blue dye and gauze packing of the wound site can confirm the diagnosis if needed.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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