头颈部的辐射效应和高压氧疗法的作用:辅助治疗。

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_185_23
Vijay Kumar, Vikas Sharma, Sandhya Pandey, Uma Shankar Pal
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引用次数: 0

摘要

背景:放疗被认为是癌症,尤其是头颈部癌症的重要治疗方式。放疗可作为各种癌症的最终治疗、支持治疗或辅助治疗。放射损伤是许多患者在放疗后或放疗期间可避免的并发症。它可能与剂量、持续时间或频率有关。辐射损伤的影响主要由缺血性坏死引起,由于受影响部位的血管较少,一旦形成就很难处理。目的:了解高压氧疗法(HBOT)在处理头颈部辐射损伤方面的效果:本研究用 Excel 表记录并分析了因放疗后变化而到高压氧治疗门诊就诊的患者的回顾性数据。结果我们的研究表明,HBOT 对放疗后的三联症、口腔干燥症、分泌物、恶臭、窦道分泌物等有效,但对骨外露瘘管的闭合效果不明显:结论:HBOT 是治疗头颈部放疗后病变的有效辅助方法。
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Radiation effects in head and neck and role of hyperbaric oxygen therapy: An adjunct to management.

Background: Radiotherapy is considered an essential treatment modality in cancers, especially head and neck cancers. Radiotherapy can be given as a definitive, supportive, or adjuvant therapy for various cancers. Radiation damage is an avoidable complication in many patients, after or during radiotherapy. It may be either dose-related, duration-related, or frequency-related. The effects of radiation damage are mainly caused by ischemic necrosis, and once settled it is difficult to manage due to the low vascularity of the affected area.

Aim: To find out the effectiveness of hyperbaric oxygen therapy (HBOT) in the management of radiation damage in the head and neck region.

Materials and methods: Retrospective data of patients attending the HBOT clinic for postradiotherapy changes were recorded in an Excel sheet and analyzed in this study. Statistical analysis was done.

Result: Our study showed that HBOT is effective in postradiation trismus, xerostomia, discharge, foul smell, discharging sinus, etc., However, it was not found to be significant in the closure of fistula with exposed bone.

Conclusion: HBOT is an effective adjunct modality for the management of postradiation changes in the head and neck region.

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Patterns and characteristics of maxillofacial trauma among children and adolescents: A Bi-institutional retrospective study. Presence of antilingula and its relationship to mandibular foramen-An anatomical study. Primary non-radiation induced angiosarcoma of the parotid with epithelioid morphology. Radiation effects in head and neck and role of hyperbaric oxygen therapy: An adjunct to management. The surgical outcome of sutureless skin closures using Octyl-2-cyanoacrylate (Dermabond™) versus Steri-Strip™.
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