高压氧治疗头颈部疾病的应用

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
S. Nabil, R. Nordin, F. Hariri, Ahmad Mohamad Bustaman, Sharifah Syed Zainal, Divya Panicker, A. Nazimi
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引用次数: 0

摘要

引言:高压氧治疗(HBOT)被认为对治疗受损的急性和慢性伤口是有益的。为了阐明其在头颈部伤口中的有效性,对HBOT的使用进行了回顾性审查。材料和方法:回顾因头颈部疾病接受HBOT治疗的患者的病历。收集人口统计学和临床数据。结果:确定了17名患者。治疗的四个主要适应症是放射性骨坏死(ORN)治疗、ORN预防、受损皮瓣/移植物的治疗和药物相关颌骨坏死的治疗。在77%的患者中观察到HBOT后的良好结果。在ORN的治疗中,56%的病例治疗成功。其余各组的成功率为100%。大多数患者接受HBOT作为辅助治疗。HBOT作为辅助手段在71%的患者中是成功的,而预防性HBOT在所有患者中都是成功的。24%的患者出现并发症,包括耳部气压伤和鼻窦挤压。结论:HBOT可成功用于各种头颈部疾病,尤其是在皮瓣/移植物受损或ORN预防的情况下。它具有良好的耐受性,因此为管理头颈部愈合能力受损的组织提供了有效的辅助治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The use of hyperbaric oxygen therapy in head-and-neck conditions
Introduction: Hyperbaric oxygen therapy (HBOT) has been suggested to be beneficial in managing compromised acute and chronic wounds. To shed some light on its effectiveness in head-and-neck wounds, a retrospective review on the use of HBOT was done. Materials and Methods: The medical records of patients receiving HBOT for head-and-neck conditions were reviewed. The demographics and clinical data were collected. Results: Seventeen patients were identified. Four major indications for therapy were identified being osteoradionecrosis (ORN) treatment, ORN prophylaxis, treatment of compromised flaps/grafts, and treatment of medication-related osteonecrosis of the jaw. Favorable outcome following HBOT was seen in 77% of patients. In the treatment of ORN, 56% cases treated were successful. In the remaining groups, 100% success rates were obtained. The majority of patients had HBOT as an adjunctive treatment. HBOT as an adjunct was successful in 71% of patients, while prophylactic HBOT were successful in all patients. Complications including ear barotrauma and sinus squeeze were seen in 24% of patients. Conclusions: HBOT can be successfully used in various head-and-neck conditions, especially when used in cases with compromised flaps/graft or ORN prophylaxis. It is well tolerated and thus provides a valid adjunctive therapy in the management of tissue with compromised healing capability in the head-and-neck region.
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来源期刊
Journal of Head & Neck Physicians and Surgeons
Journal of Head & Neck Physicians and Surgeons MEDICINE, GENERAL & INTERNAL-
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0.30
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审稿时长
15 weeks
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