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<p>Postoperative wound dehiscence is a frequent and challenging complication associated with extensive oncologic resections and reconstructive procedures in the head and neck region. This case report describes the successful conservative management of postoperative wound dehiscence using diluted acetic acid (vinegar) dressings in a 50-year-old male following Modified Radical Neck Dissection (MRND) and Pectoralis Major Myocutaneous (PMMC) flap reconstruction. Upon identification of wound dehiscence and localized infection on postoperative day five, 0.5–1% acetic acid dressings were applied bi-daily. Wound progression was evaluated through serial clinical assessments and photographic documentation. Substantial improvement was noted within 72&#xa0;h, characterized by a reduction in purulent exudate, enhanced granulation tissue formation, and progressive secondary healing without the need for surgical intervention. Acetic acid dressing represents a cost-effective and clinically efficacious adjunct in managing postoperative wound dehiscence and localized infections in complex head and neck surgical reconstructions.</p>

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Acetic Acid Dressing in Postoperative Wound Dehiscence in Oral Surgery: A Case Report

  • 期刊论文

  • 发表日期：

    2026年2月3日

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  • Rushabh Chordia,
  • Bhushan Bhagat,
  • Pushkar P. Waknis,
  • Lakshmi Shetty,
  • Smriti Ticku

摘要

Postoperative wound dehiscence is a frequent and challenging complication associated with extensive oncologic resections and reconstructive procedures in the head and neck region. This case report describes the successful conservative management of postoperative wound dehiscence using diluted acetic acid (vinegar) dressings in a 50-year-old male following Modified Radical Neck Dissection (MRND) and Pectoralis Major Myocutaneous (PMMC) flap reconstruction. Upon identification of wound dehiscence and localized infection on postoperative day five, 0.5–1% acetic acid dressings were applied bi-daily. Wound progression was evaluated through serial clinical assessments and photographic documentation. Substantial improvement was noted within 72 h, characterized by a reduction in purulent exudate, enhanced granulation tissue formation, and progressive secondary healing without the need for surgical intervention. Acetic acid dressing represents a cost-effective and clinically efficacious adjunct in managing postoperative wound dehiscence and localized infections in complex head and neck surgical reconstructions.