Abstract

IRIARTE ORTABE, J.I. et al. The use of oxygen therapy by means of the hyperbaric chamber in oral and maxillofacial surgery. Rev Esp Cirug Oral y Maxilofac [online]. 2006, vol.28, n.1, pp.07-24. ISSN 2173-9161.

Hyperbaric oxygen therapy (HBO) is a physical therapeutic modality based on obtaining high partial pressures of oxygen, on breathing pure oxygen inside a chamber at a pressure that is greater than that of the atmosphere. The object of this revision is to clarify the action mechanisms and the effects of the physical therapy, the problems that may arise and more especially the current indications for its use. In oral and maxillofacial surgery, HBO is used as complementary treatment for maxillo-mandibular osteitis and osteomyelitis, for necrotizing infections of soft tissue (on a cervical, periodontal, gingival... level), for the prevention (very important) and treatment of osteoradionecrosis, for healing delays (fractures, dental implants, grafts/flaps with difficult viability), for implantological rehabilitation of irradiated oncological patients. It is necessary to use the protocols that have been established and to generate studies that scientifically support its use; in this sense the lack of consistency that we have found is the studies that have been published could be reduced.

Keywords : Hyperbaric oxygentherapy; Osteitis maxillar; Osteomyelitis mandibular.

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