The impact of hyperbaric oxygen therapy on late irradiation injury in oral microcirculation.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 35488468.
- Also identified by DOI 10.1002/hed.27073 and PMC identifier 9321996.
- Licence recorded as CC BY-NC-ND.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Late side effects of radiotherapy in patients with head and neck cancer (HNCPs) result in decreased tissue vascularity, a compromised healing capacity and spontaneous breakdown of tissue. The aim of this study was to examine the in vivo effect of hyperbaric oxygen therapy (HBOT) on the microcirculation in irradiated oral tissue. Using a handheld microscope, the effect of HBOT on oral mucosal microcirculation parameters was measured in 34 previously irradiated HNCPs prior to HBOT and at 4 weeks and 6 months posttreatment. A significant increase in mean buccal vessel density and decrease in buccal vessel diameter was found 6 months after HBOT compared to baseline, 22 ± 11 versus 25 ± 7 cpll/mm<sup>2</sup> (p < 0.05) and 20 ± 4 versus 16 ± 5 μm (p < 0.05), respectively. Our results indicate that oral microcirculation histopathology associated with irradiation is able to respond to HBOT by redirecting oral microcirculation parameters towards values consistent with healthy tissue.
Medical subject headings
- Head and Neck Neoplasms
- Hyperbaric Oxygenation
- Radiation Injuries