Arıcıgil Mitat, Dündar Mehmet Akif, Yücel Abitter, Arbağ Hamdi, Arslan Abdullah, Aktan Meryem, Fındık Sıdıka, Kılınç İbrahim
Necmettin Erbakan University, Department of Otorhinolaryngology Head and Neck Surgery, Konya, Turkey.
Necmettin Erbakan University, Department of Otorhinolaryngology Head and Neck Surgery, Konya, Turkey.
Braz J Otorhinolaryngol. 2018 Mar-Apr;84(2):206-211. doi: 10.1016/j.bjorl.2017.02.001. Epub 2017 Feb 27.
To manage the complications of irradiation of head and neck tissue is a challenging issue for the otolaryngologist. Definitive treatment of these complications is still controversial. Recently, hyperbaric oxygen therapy is promising option for these complications.
In this study, we used biochemical and histopathological methods to investigate the efficacy of hyperbaric oxygen against the inflammatory effects of radiotherapy in blood and laryngeal tissues when radiotherapy and hyperbaric oxygen are administered on the same day.
Thirty-two Wistar Albino rats were divided into four groups. The control group was given no treatment, the hyperbaric oxygen group was given only hyperbaric oxygen therapy, the radiotherapy group was given only radiotherapy, and the radiotherapy plus hyperbaric oxygen group was given both treatments on the same day.
Histopathological and biochemical evaluations of specimens were performed. Serum tumor necrosis factor-α, interleukin-1β, and tissue inflammation levels were significantly higher in the radiotherapy group than in the radiotherapy plus hyperbaric oxygen group, whereas interleukin-10 was higher in the radiotherapy plus hyperbaric oxygen group.
When radiotherapy and hyperbaric oxygen are administered on the same day, inflammatory cytokines and tissue inflammation can be reduced in an early period of radiation injury.
对头颈部组织放疗并发症的处理是耳鼻喉科医生面临的一个具有挑战性的问题。这些并发症的确定性治疗仍存在争议。最近,高压氧治疗是处理这些并发症的一个有前景的选择。
在本研究中,我们采用生化和组织病理学方法,研究在放疗当天给予高压氧时,高压氧对血液和喉部组织放疗炎症效应的疗效。
将32只Wistar白化大鼠分为四组。对照组不进行任何处理,高压氧组仅给予高压氧治疗,放疗组仅给予放疗,放疗加高压氧组在同一天给予两种治疗。
对标本进行了组织病理学和生化评估。放疗组血清肿瘤坏死因子-α、白细胞介素-1β和组织炎症水平显著高于放疗加高压氧组,而放疗加高压氧组白细胞介素-10水平更高。
当在同一天给予放疗和高压氧时,在放射损伤早期可降低炎性细胞因子和组织炎症。