[Hyperbaric oxygen and radiotherapy: From myth to reality] - PubMed (original) (raw)
Review
doi: 10.1016/j.canrad.2016.04.003. Epub 2016 Jun 21.
[Article in French]
C Raffoux 2, A Vallard 1, M-A Garcia 3, J-B Guy 1, C Rancoule 1, M Ben Mrad 1, J Langrand-Escure 1, J-C Trone 1, G Pigne 1, P Diao 1, N Magné 4
Affiliations
- PMID: 27342943
- DOI: 10.1016/j.canrad.2016.04.003
Review
[Hyperbaric oxygen and radiotherapy: From myth to reality]
[Article in French]
S Espenel et al. Cancer Radiother. 2016 Jul.
Abstract
Worldwide, more than a million people receive each year a curative radiotherapy. While local control and overall survival are steadily increasing, 5 to 15% of patients still develop above grade 2 late toxicities. Late toxicities treatments are complex. Hyperbaric oxygenation was shown to induce revascularization and healing of injured tissues, but indications are still debated. Through a literature review, we summarized the hyperbaric oxygenation indications in radiation-induced late toxicities. We also studied the knowledge and practice of French local radiation therapists. It seems that hyperbaric oxygen therapy can be a conservative treatment of haemorrhagic cystitis and radiation-induced pain, in case of drug therapies failure. Often associated with a significant morbidity and mortality, surgery could be avoided. The risk of complications in case of tooth extraction in irradiated tissues is also reduced. However, the role of hyperbaric oxygenation for mandibular osteoradionecrosis, radiation-induced proctitis, enteritis, lymphoedema, brachial plexopathy, skin and neurological sequelae seems more questionable since studies results are conflicting. Future outcomes of phase III studies are expected to clarify the role of hyperbaric oxygenation in the management of radio-induced toxicities, including for head and necks complications.
Keywords: Complications; Hyperbaric oxygenation; Oxygénothérapie hyperbare; Radiotherapy; Radiothérapie; Toxicity; Toxicité tardive.
Copyright © 2016. Published by Elsevier SAS.
Comment in
- Is hyperbaric oxygen therapy available for all kinds of radiation necrosis?
Benderli Cihan Y. Benderli Cihan Y. Cancer Radiother. 2017 Apr;21(2):164-165. doi: 10.1016/j.canrad.2016.11.002. Epub 2017 Apr 5. Cancer Radiother. 2017. PMID: 28391955 No abstract available.
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