Applications of hyperbaric oxygen in otolaryngology head and neck surgery

Bill, Timothy J.; Hoard, Martin A.; Gampper, Thomas J.

doi:10.1016/s0030-6665(05)70017-7

Cited by 18 publications

(14 citation statements)

References 24 publications

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“…We also found 1 case with ear attached by small superior and inferior skin bridges 10 and 1 case where the attachment was not described, but from the image in the article it appeared that the ear was attached by a superior pedicle attached at the helix. 11 …”

Section: Discussionmentioning

confidence: 99%

“…Of the cases reviewed above, 2 applied the use of HBOT to their postoperative treatment. 10, 11 The first one described a case of primary repair of traumatically sheered ear supplied by a 4- and 7-mm skin pedicle at the helical root and lobule, respectively. Postoperative care of this patient consisted of a combined therapy with leeches, dextran-40, vitamin E, and HBOT at 2 atm for 90 minutes twice a day for 6 days while in the hospital and 5 additional days as an outpatient.…”

Section: Discussionmentioning

confidence: 99%

“…In this case, this article shows only an image of the ear at 1 year postoperatively without comments, in which the ear appears to have healed completely without tissue loss. 11 Although details of this article are lacking, it seems that a hyperbaric protocol similar to the one used in our case has been used.…”

Section: Discussionmentioning

confidence: 99%

“…The blood flow that contributes to increased edema seems to be reduced while maintaining oxygen delivery to the compromised tissues through the tremendous amounts dissolved in plasma. 11 …”

Section: Discussionmentioning

confidence: 99%

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Use of Hyperbaric Oxygen as Adjunct in Salvage of Near-complete Ear Amputation

Bada

Pope

2013

Plastic and Reconstructive Surgery Global Open

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Summary:There have been several cases of microvascular repair of traumatically avulsed or amputated ears in the literature. It seems that, if possible at the time of operation, microsurgical techniques yield the best results. However, because of the nature, complexity, and acuity of traumatic injuries, this option is not always feasible. Although the possibility of microsurgical repair exists, the small size of these vessels is often prohibitive, even for a skilled microsurgeon. Here, we present the case of a 4-year-old boy with almost complete amputation of the left ear attached by an inferior narrow skin pedicle after a dog bite. He was treated with primary repair and postoperative hyperbaric oxygen therapy (HBOT) with good results. This case is another example that even a narrow skin pedicle can contain artery and vein that can supply a large segment of the auricle, making primary repair feasible because of the vascular anatomy and communicating helical arcade. Also, this case demonstrates the successful use of HBOT with a pediatric patient as an adjuvant postoperative therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The blood flow that contributes to increased edema seems to be reduced while maintaining oxygen delivery to the compromised tissues through the tremendous amounts dissolved in plasma. 11 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Use of Hyperbaric Oxygen as Adjunct in Salvage of Near-complete Ear Amputation

Bada

Pope

2013

Plastic and Reconstructive Surgery Global Open

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“…Venous insufficiency of the flaps can be managed by using medicinal leeches to relieve the congestion caused by venous stasis [30]. The use of hyperbaric oxygen for borderline arterial insufficiency can be beneficial [31]. Donor site morbidity is another complication in head and neck reconstruction and may vary from mild cosmetic deformity to loss of a limb, depending on the type of tissue and the anatomic factors.…”

Section: Complications Of Surgical Reconstructionmentioning

confidence: 99%

Surgical reconstruction in patients with cancer of the head and neck

Vural

2004

Curr Oncol Rep

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Reconstructive surgical techniques have greatly changed the treatment approach for patients with cancer of the head and neck. These techniques provide head and neck surgeons the flexibility of performing tumor resection without concerns about the repair of the final defect and significantly increase the quality of life in patients who have undergone ablative surgery by providing better cosmetic and functional outcome after cancer resection. Reconstruction of the defects after ablative surgery for head and neck cancer includes various options, and each option has its own advantages and disadvantages. Techniques for head and neck reconstruction are summarized in this article along with recent advances in their application.

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