Squamous Cell carcinoma of the Head and Neck: Using Active LeptospermumHoney for Wound Management and Odor Control

Purpose:

The purpose of this investigation was to trial an active Leptospermum honey calcium alginate dressing (HICADs) for wound management and odor control for several patients with malodorous wounds related to squamous cell carcinoma of the head and neck   

Problem:

Squamous cell carcinoma (SCC), a malignant tumor of the epidermal keratinocytes, is the second most common form of skin cancer.  It arises on the sun exposed areas of skin in persons of middle and older age and may present a daunting challenge for clinicians who need to provide wound management and odor control.  Presence of malodor is a reminder the underlying disease process and may contribute to low self esteem, embarrassment, depression, and social isolation.

Methodology:

Two patients presented with malodorous, heavily exuding wounds.  A diagnosis of squamous cell carcinoma was confirmed and radiation therapy commenced.  Both patients received active Leptospermum HICAD application with a gauze or Telfa cover dressing. Dressings were initially changed daily then adjusted to every two or three days.

Results: 

Malodor was eliminated and rapid wound contraction and healing was observed in both cases.  This eliminated the need for surgical wound closure.  Both patients reported satisfaction with use of the HICADs.

Conclusion:

Further investigations using active Leptospermum HICADs for wound management and odor control are indicated.