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 pati...

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Main Authors: Syed Nabil, Rifqah Nordin, Firdaus Hariri, Ahmad Fahmi Mohamad Bustaman, Sharifah Azlin Juliana Syed Zainal, Divya Panicker, Abdul Jabar Nazimi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Head & Neck Physicians and Surgeons
Subjects:
Online Access:http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=27;epage=33;aulast=Nabil
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author Syed Nabil
Rifqah Nordin
Firdaus Hariri
Ahmad Fahmi Mohamad Bustaman
Sharifah Azlin Juliana Syed Zainal
Divya Panicker
Abdul Jabar Nazimi
author_facet Syed Nabil
Rifqah Nordin
Firdaus Hariri
Ahmad Fahmi Mohamad Bustaman
Sharifah Azlin Juliana Syed Zainal
Divya Panicker
Abdul Jabar Nazimi
author_sort Syed Nabil
collection DOAJ
description 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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spelling doaj.art-273657b1e9454b938f81ac313e99f6842022-12-22T01:27:41ZengWolters Kluwer Medknow PublicationsJournal of Head & Neck Physicians and Surgeons2347-81282347-81282020-01-0181273310.4103/jhnps.jhnps_16_20The use of hyperbaric oxygen therapy in head-and-neck conditionsSyed NabilRifqah NordinFirdaus HaririAhmad Fahmi Mohamad BustamanSharifah Azlin Juliana Syed ZainalDivya PanickerAbdul Jabar NazimiIntroduction: 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.http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=27;epage=33;aulast=Nabilbisphosphonateflapshead and neckhyperbaric oxygen therapyosteoradionecrosis
spellingShingle Syed Nabil
Rifqah Nordin
Firdaus Hariri
Ahmad Fahmi Mohamad Bustaman
Sharifah Azlin Juliana Syed Zainal
Divya Panicker
Abdul Jabar Nazimi
The use of hyperbaric oxygen therapy in head-and-neck conditions
Journal of Head & Neck Physicians and Surgeons
bisphosphonate
flaps
head and neck
hyperbaric oxygen therapy
osteoradionecrosis
title The use of hyperbaric oxygen therapy in head-and-neck conditions
title_full The use of hyperbaric oxygen therapy in head-and-neck conditions
title_fullStr The use of hyperbaric oxygen therapy in head-and-neck conditions
title_full_unstemmed The use of hyperbaric oxygen therapy in head-and-neck conditions
title_short The use of hyperbaric oxygen therapy in head-and-neck conditions
title_sort use of hyperbaric oxygen therapy in head and neck conditions
topic bisphosphonate
flaps
head and neck
hyperbaric oxygen therapy
osteoradionecrosis
url http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=27;epage=33;aulast=Nabil
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