Schweitzer V G
Department of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202.
Henry Ford Hosp Med J. 1990;38(1):16-20.
Hyperbaric oxygen (HBO) is an effective adjunct in the management of selected otolaryngologic problems including radiation-induced necrosis of the temporal bone, malignant external otitis, mandibular osteoradionecrosis and refractory osteomyelitis, soft tissue head and necrotizing fasciitis, compromised skin flaps and grafts, acute air or gas embolism, and otologic barotrauma. We describe the management of a patient with insidious Staphylococcus aureus osteomyelitis of the temporal bone by the use of HBO preoperatively and postoperatively in conjunction with surgical debridement. The possible application of angiogenic agents and tetracycline bone-labeling in combination with HBO therapy in the management of refractory neurotologic disease is discussed.
高压氧（HBO）是治疗某些耳鼻喉科问题的有效辅助手段，这些问题包括颞骨放射性坏死、恶性外耳道炎、下颌骨放射性骨坏死和难治性骨髓炎、头颈部软组织和坏死性筋膜炎、受损的皮瓣和移植物、急性空气或气体栓塞以及耳气压伤。我们描述了一名患有隐匿性金黄色葡萄球菌性颞骨骨髓炎患者的治疗过程，术前和术后使用HBO并结合手术清创。还讨论了血管生成剂和四环素骨标记物与HBO疗法联合应用于难治性神经耳科疾病治疗的可能性。
