高压氧在骨质放射性瘤中的作用 - - 一个预防性的洞察力
B Dang1,2, S Gamage1,2, S Sethi2
1Oral and Maxillofacial Surgery Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Australian dental journal
|June 22, 2023
概括
预防性高压氧气疗法 (HBOT) 可以降低头癌患者在牙科手术后的骨质激光缩 (ORN) 风险. 年轻的饮酒男性尽管接受了HBOT,但ORN发病率更高.
科学领域:
- 口腔和牙面部外科手术
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
背景情况:
- 骨质放射性死 (ORN) 是头部和部放射治疗后的一种严重并发症.
- 高压氧气疗法 (HBOT) 被认为是预防牙科手术前的ORN.
研究的目的:
- 评估预防性HBOT协议,用于接受放射治疗后牙气囊手术的个人.
- 描述ORN的结果和敏感患者的延迟愈合.
主要方法:
- 在大放射治疗后接受牙提取的成年患者的回顾性审计 (2008-2020年).
- 收集的数据包括人口统计,ORN和延迟愈合结果.
- 检查了121名患者,15名患者无法完成HBOT.
主要成果:
- 在9.1%的患者中发生ORN,在3.3%的患者中延迟愈合.
- 年龄较大 (>67岁) 与ORN有显著的关联.
- 酒精消费是ORN的重要预测因素.
结论:
- 预防性HBOT协议表明ORN的发病率较低.
- 当前饮酒的年轻男性更有可能发展ORN,即使有HBOT.
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