Hollander Maria H J, Boonstra Onno, Timmenga Nicolaas M, Schortinghuis Jurjen
Medical Doctor, Institute of Hyperbaric Oxygen Therapy, Hoogeveen, The Netherlands.
Medical Director and Physician, Institute of Hyperbaric oxygen Therapy, Hoogeveen, The Netherlands.
J Oral Maxillofac Surg. 2017 Nov;75(11):2334-2339. doi: 10.1016/j.joms.2017.07.146. Epub 2017 Jul 15.
In maxillofacial surgery, hyperbaric oxygen treatment is used almost exclusively as adjunctive therapy for osteoradionecrosis of the mandible in irradiated patients. It also is used to prevent the occurrence of osteoradionecrosis in the irradiated patient when dental surgery is indicated. Theoretically, hyperbaric oxygen therapy should benefit the nonirradiated patient in maxillofacial surgery (eg, patients with persistent intraoral wound dehiscences after bone grafting).
Six nonirradiated patients underwent hyperbaric oxygen therapy because of compromised wound healing after intraoral bone grafting of the maxilla as a preimplant procedure. All patients were treated 7 to 26 times with hyperbaric oxygen therapy at 2.5 ATA.
All patients healed uneventfully. In retrospect, almost all patients had a history of chronic maxillary sinusitis or trauma to the operated area.
Hyperbaric oxygen therapy seems to be an effective adjunctive therapy in the treatment of nonirradiated patients with compromised intraoral maxillary bone graft healing. Chronic maxillary sinus problems or a history of trauma could predispose to wound dehiscence after bone grafting.
在颌面外科手术中，高压氧治疗几乎仅作为放疗患者下颌骨放射性骨坏死的辅助治疗方法。当需要进行牙科手术时，它也用于预防放疗患者发生放射性骨坏死。从理论上讲，高压氧治疗应对颌面外科手术中的非放疗患者有益（例如，骨移植后持续性口腔内伤口裂开的患者）。
6例非放疗患者因上颌骨口腔内植骨作为种植前手术，术后伤口愈合不良而接受高压氧治疗。所有患者均在2.5 ATA下接受7至26次高压氧治疗。
所有患者均顺利愈合。回顾发现，几乎所有患者都有慢性上颌窦炎病史或手术区域受过外伤。
高压氧治疗似乎是治疗口腔内上颌骨植骨愈合不良的非放疗患者的一种有效辅助治疗方法。慢性上颌窦问题或外伤史可能易导致骨移植后伤口裂开。
