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| Title: | Indication for hyperbaric oxygen treatment as a predictor of tympanostomy tube placement. |
| Authors: | Fiesseler, FW
Silverman, ME
Riggs, RL
Szucs, PA |
| Keywords: | Hyperbaric Oxygenation
Hyperbaric conditions
tympanostomy tubes
otic barotrauma
radiation
HUMANS |
| Issue Date: | 2006 |
| Publisher: | Undersea and Hyperbaric Medical Society, Inc. |
| Citation: | Undersea Hyperb Med. 2006 Jul-Aug;33(4):231-5. |
| Abstract: | INTRODUCTION: Hyperbaric oxygen therapy (HBO2) has been utilized for many years for a multitude of disease entities. One commonly encountered side-effect is otic barotrauma. OBJECTIVE: To determine if patients with specific disease processes are at increased risk of requiring tympanostomy tubes during HBO2. METHODS: Data was obtained from Jan. 2000 to Dec. 2004, retrospectively. The requirement for tympanostomy tubes during a course of HBO2 was established. RESULTS: 325 met inclusion criteria. Fifteen percent of patients overall (95% CI= 11-19%) required tympanostomy tubes. Tubes were required in: 5% necrotizing soft tissue infection (p=0.33); 10% failed/threatened graft (p=0.39); 15% problem wounds; 17% chronic refractory osteomyelitis (CRO) (p=0.64); 22% soft tissue radionecrosis (STRN)/osteoradionecrosis (ORN) (p=0.02); 33% of crush injuries (p=0.10). Twenty-nine percent of nasopharyngeal radiation injury patients (p=0.001) and 10% of the non-nasopharyngeal radiation patients (p=0.36) received tympanostomy tubes. CONCLUSION: A significant increase in tympanostomy tubes were required in nasopharyngeal radiation injury patients. |
| Description: | Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc. |
| URI: | http://archive.rubicon-foundation.org/5033 |
| Appears in Collections: | Undersea and Hyperbaric Medicine Journal
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| 17004409.pdf | | 276Kb | Adobe PDF | View/Open |
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