对面部,头部和部的伤口进行高压氧气治疗
Peter W Kahng1, Adeeb Derakhshan2, Shekhar K Gadkaree1
1Department of Otolaryngology - Head & Neck Surgery, University of Miami Miller School of Medicine, Miami, Florida.
概括
高压氧气疗法 (HBO) 是用于头部和部伤口的宝贵辅助治疗方法,包括与辐射相关的伤害,受损的片和感染. 需要进一步的研究来建立最佳的方案,特别是对于骨质放射性缩和药物诱导的骨缩.
科学领域:
- 伤口愈合和再生医学.
- 高压医学是高压医学.
- 头部和部手术的手术.
背景情况:
- 头部和部的伤害会导致严重的美学,功能和危及生命的并发症.
- 多模式治疗方法通常是必要的,以管理这些复杂的伤口.
研究的目的:
- 审查高压氧疗法 (HBO) 对各种头部和部伤口的作用和临床结果.
- 评估HBO在管理特定类型的头病理方面的辅助使用.
主要方法:
- 回顾文献和可用的临床试验对头部和部伤口的HBO进行回顾.
- 分析常见的HBO治疗方案及其变化.
- 将HBO与新兴的骨髓缩治疗方法进行比较.
主要成果:
- 追溯数据支持HBO作为辐射相关的头部和部伤口,受损的移植/片和死软组织感染的辅助治疗.
- 标准的HBO协议包括每天90分钟的2-2.4 ATA,每天持续30个会话,尽管存在变化.
- 与HBO相比,像PENTOCLO这样的新兴方案可能为骨质放射缩 (ORN) 和药物诱导的骨缩 (MRONJ) 提供更好的结果.
结论:
- 对头部和部伤口,包括辐射组织,受损的片,填充剂诱导的缩和死软组织感染,HBO疗法是推的辅助剂.
- 更多的随机对照试验对于确认临床影响和标准化HBO治疗方案至关重要.
- 对于ORN和MRONJ的特定协议需要进一步调查,新兴的替代方案显示出希望.
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