Department of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Int J Oral Maxillofac Surg. 2021 Feb;50(2):273-276. doi: 10.1016/j.ijom.2020.06.014. Epub 2020 Jul 13.
For decades, hyperbaric oxygen (HBO) has often been part of the treatment of osteoradionecrosis (ORN), despite controversy in the literature about its efficacy. An online survey was conducted to investigate the use of HBO in the treatment of ORN by Dutch oral and maxillofacial surgeons and to assess their perception of its efficacy. Of the 53 Dutch oral and maxillofacial surgery units contacted, 49 (92%) replied. Thirty-five were not head and neck cancer (HNC) units or preferred partner (PP-HNC) units recognized by the Dutch Head and Neck Association. All HNC and PP-HNC units (group 1) treated ORN patients, compared to only 12 (34%) of the non-HNC units (group 2). The average number of ORN patients seen and treated was higher in group 1. The units in group 1 more often referred patients for HBO therapy (HBOT) than those in group 2 (93% vs 84%). The efficacy of HBOT in curing ORN, rated on a scale of 1 to 5 points, was 3.7 in group 1 and 3.2 in group 2. This survey shows a trend towards centralization of ORN care to more experienced units. These units tend to use HBOT in curing ORN.
几十年来，尽管文献中存在关于高压氧（HBO）疗效的争议，但 HBO 通常仍是治疗放射性骨坏死（ORN）的一部分。我们进行了一项在线调查，以调查荷兰口腔颌面外科医生在治疗 ORN 中使用 HBO 的情况，并评估他们对其疗效的看法。在联系的 53 个荷兰口腔颌面外科单位中，有 49 个（92%）做出了回应。其中 35 个不是荷兰头颈癌协会认可的头颈癌（HNC）单位或首选合作伙伴（PP-HNC）单位。所有 HNC 和 PP-HNC 单位（第 1 组）都治疗 ORN 患者，而只有 12 个（34%）非 HNC 单位（第 2 组）治疗 ORN 患者。第 1 组中治疗 ORN 的患者数量和接受治疗的患者数量更高。第 1 组中比第 2 组更常将患者转介进行 HBO 治疗（HBOT）（93%对 84%）。HBOT 治愈 ORN 的疗效，评分为 1 到 5 分，第 1 组为 3.7，第 2 组为 3.2。这项调查显示，ORN 治疗向更有经验的单位集中的趋势。这些单位倾向于使用 HBOT 治疗 ORN。
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