The full poster presentation will describe the successful management of two severely infected oncological wounds using advanced wound dressings such as a silver-coated antimicrobial barrier dressing*, a polyurethane foam dressing** and a hydrogel***.

Case 1 is a thirteen-year-old boy affected by parameningeal Rabdomiosarcoma embrionale, who was admitted to hospital with a recurrent right mastoid pathology with extension to the petrous pyramid. The application of these advanced wound management dressings allowed us to manage bacteria burden quickly and to obtain a healthy wound bed. This allowed us to: to quickly recommence the chemotherapy treatment, which was absolutely necessary given the aggressive nature of the neoplastic lesion: to carry out reconstructive surgery.

Case 2 is a seven-year-old boy was admitted to the hospital with a diagnosis of acute leucosis. Upon admission, the general conditions of the child, who had a high fever (TC > 39°C), were worsening. In the chin and lower lip region, he had an extended inflamed area (6 x 5 cm) infiltrated with eschar, which extended and entered the lower gum fornix. In this case the difficulty in achieving an adequate concentration of antibiotics on the surface of the wound makes the treatment of skin lesions particularly problematic in such patients. In the case in question, the use of these advanced wound management dressings allowed to address bacterial burden in a difficult wound thereby simultaneously assisting healing.

*Acticoat silver antimicrobial barrier dressing (Smith & Nephew Inc., Largo, Fl). **Allevyn polyurethane foam dressing (Smith & Nephew Inc., Largo, Fl). *** Intrasite Gel (Smith & Nephew Inc., Largo, Fl).