Successful Hyperbaric Oxygen Therapy In Complications Of Fillers Rhinoplasty-Cases Report (original) (raw)
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Hyperbaric Oxygen Therapy in Plastic Surgery
Plastic and Reconstructive Surgery, 1991
Objective: In this review the literature aims to familiarize the reader with several of the more common plastic surgery problems and to review the appropriate use of HBO for each condition. Plastic surgery is a broad specialty encompassing a variety of areas including the treatment of traumatic soft tissue injury, burn care, hand surgery, microsurgery and limb replantation, problem wound management, flap reconstruction, cosmetic surgery, and congenital deformity. In recent years an emphasis on less anecdotal and more scientific research has provided a better understanding of the role of hyperbaric oxygen therapy (HBO) for many plastic surgical conditions. Patient selection remains the key to successful outcome. The rationale for HBO treatment of a specific plastic surgery problem should be based on scientific research if possible. If supportive research is not available or applicable to a specific case, then the decision to treat should be based on sound physiological principles.
Hyperbaric Oxygen for Ischemia due to Injection of Cosmetic Fillers
Plastic and Reconstructive Surgery - Global Open
Natural and synthetic fillers have revolutionized aesthetic facial rejuvenation and soft-tissue augmentation to treat volume loss, dermatological diseases, age-related changes such as tear troughs, wrinkles, depressed scars, and also for lip, cheek, and chin augmentation. 1 We present the case of a patient who self-injected with a hyaluronic acid filler and required intervention for complications including hyperbaric oxygen therapy (HBO2). We will discuss the utility of HBO2 and the ease of obtaining product, and the need for regulations and self-governance. CASE A 37-year-old woman self-injected Juvederm Voluma XC (a hyaluronic acid gel, Allergan, Irvine, CA) on both sides of her face around the proximal temple. Immediately after injection, she experienced hearing loss in her left ear, blanching over the left side of her face, and severe pain. Prompt treatment with hyaluronidase, topical nitro paste, and warm compresses ensued. With no improvement 9 hours after the injection, she presented to an outside emergency department with signs of ischemic changes to her left face and postauricular area and also hearing loss but no other vestibular symptoms. A computed tomography angiography of the head showed occlusion of a branch of the left superficial temporal artery. They treated her with enoxaparin, aspirin, dexamethasone 10 mg IV, piperacillin/tazobactam, and intradermal 1% lidocaine (0.1 ml per site). Our facility accepted her in transfer for hyperbaric oxygen treatments for vascular insufficiency. Beginning 15 hours after the initial insult, she received 6 total treatments, done twice daily, the initial 2 at 3.0 atmospheres absolute for 90 minutes followed by 4 treatments at 2.4 ATA × 90 minutes, all with air
Comprehensive Review of Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy involves inspiration of pure high pressure oxygen. For the past 20 years, administration of 100% high pressure oxygen and its potential benefits in management of diseases have been more clarified. Physiological advantages advocate HBO for the first-line treatment of several conditions. The specialty of craniofacial surgery is broad and deals with a diverse range of complications. The goal of this review is to help surgeons in their treatment planning by categorizing the indications of HBO therapy for oral and maxillofacial surgery. We also assess research data substantiating these indications where we believe basic physiological mechanisms and clinical evidences support further investigation on HBO efficacy to greater understanding of its potential benefit in oral and maxillofacial surgery.
Vascular Complication in Aesthetic Medicine Treated with Hyperbaric Oxygenation
Polish Hyperbaric Research, 2018
The most hazardous adverse reactions following hyaluronic acid injections in aesthetic medicine involve vascular complications, known as the Nicolau Syndrome. This article presents a vascular complication in the area of the upper part of the nasolabial fold following subcutaneous administration of 0.5 ml of hyaluronic acid. At the time of the injection, paling occurred, which was followed by livedo racemosa appearing an hour later. Upon the lapse of a week, an ulceration appeared. It was not until the tenth day after the hyaluronic acid injection that hyaluronidase was administered. After 15 hyperbaric oxygen exposures, the ulcer was completely healed
The Use of Hyperbaric Oxygen Therapy in Head-and-Neck Conditions
Journal of Head & Neck Physicians and Surgeons, 2020
Introduction: Hyperbaric oxygen therapy (HBOT) has been suggested to be beneficial in managing compromised acute and chronic wounds. To shed some light on its effectiveness in head-and-neck wounds, a retrospective review on the use of HBOT was done. Materials and Methods: The medical records of patients receiving HBOT for head-and-neck conditions were reviewed. The demographics and clinical data were collected. Results: Seventeen patients were identified. Four major indications for therapy were identified being osteoradionecrosis (ORN) treatment, ORN prophylaxis, treatment of compromised flaps/grafts, and treatment of medication-related osteonecrosis of the jaw. Favorable outcome following HBOT was seen in 77% of patients. In the treatment of ORN, 56% cases treated were successful. In the remaining groups, 100% success rates were obtained. The majority of patients had HBOT as an adjunctive treatment. HBOT as an adjunct was successful in 71% of patients, while prophylactic HBOT were successful in all patients. Complications including ear barotrauma and sinus squeeze were seen in 24% of patients. Conclusions: HBOT can be successfully used in various head-and-neck conditions, especially when used in cases with compromised flaps/graft or ORN prophylaxis. It is well tolerated and thus provides a valid adjunctive therapy in the management of tissue with compromised healing capability in the head-and-neck region.
South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie, 2001
Hyperbaric oxygen (HBO) therapy, that is the administration of 100% oxygen delivered under pressure, has a beneficial effect in several surgical conditions. Its use has been assessed and audited and its pharmacological effects demonstrated. It is appropriate for use in several surgical conditions as evidence-based therapy. These are: (i) gas gangrene; (ii) crush injuries, compartment syndromes and acute traumatic ischemias; (iii) enhancement of healing in selected problem wounds; (iv) exceptional blood loss anaemia; (v) necrotising soft-tissue infections; (vi) refractory osteomyelitis; (vii) radionecrosis; (viii) compromised skin grafts and flaps; (ix) thermal burns; (x) intracranial abscess. HBO therapy has been used inappropriately in the past; there is also lack of knowledge regarding its application, and scarce hyperbaric facilities. Hyperbaric therapy, when properly supervised by a physician trained in its use, working closely with a surgeon, and ethically used for appropriate ...
Results of hyperbaric oxygen treatment in an at-risk nasal flap following trauma
Diving and Hyperbaric Medicine Journal, 2021
Hyperbaric oxygen treatment (HBOT) is widely used in otorhinolaryngology for various purposes. A 20-year-old male patient was admitted following a traumatic nasal wound which occurred several hours prior. He had a nasal glass cut from the radix to the supratip area which was primarily closed by non-absorbable suture. The following day, there was a haematoma and necrosis of the skin. The haematoma was drained under local anaesthesia. Blood supply to the nasal skin was severely compromised and only the columellar artery remaining intact, by definition designating this a difficult to heal wound with the risk of overall healing failure. Necrosis of the skin had developed within the first 24 hours. Accordingly, the patient underwent 30 HBOT sessions (two hours at 253.3 kPa) twice daily for four days and daily thereafter. Antibiotic cover and conservative wound management were also used. Complete healing was achieved without the need for additional surgical intervention. We conclude that ...
Hyperbaric oxygen therapy - can it be the new era in dentistry?
Journal of clinical and diagnostic research : JCDR, 2014
Hyperbaric oxygen therapy is a rapidly developing treatment modality in various fields of dentistry. It is the administration of 100% oxygen to the patient for a specified time period, to increase the oxygen tension in the tissues and also its dissolution in the blood. This review aims to briefly discuss the history, mode of action, indications, contraindications, complications and the applications of hyperbaric oxygen therapy in dentistry.
Hyperbaric Oxygen Therapy: Exploring the Clinical Evidence
Advances in skin & wound care, 2017
To provide information about hyperbaric oxygen therapy (HBOT), its mechanisms, indications and safe applications based on clinical evidence. This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Recall the physiology of wound healing and the mechanisms of action of HBOT.2. Identify current applications of HBOT based on clinical evidence as well as its risks and contraindications. Treating chronic wounds and infections are challenging medical problems worldwide. Hyperbaric oxygen therapy (HBOT), the administration of 100% oxygen at pressures greater than 1.4 atmosphere absolute in a series of treatments, can be used as an adjunctive therapy in many wound care settings because it improves oxygenation and neovascularization and decreases inflammation in chronic wounds. A growing number of st...
Aesthetic Surgery Journal Open Forum
Background Wound healing remains among the most concerning complications in aesthetic surgery. The use of hyperbaric oxygen therapy (HBOT) is an accepted method of supporting wound healing. Objectives The aim of this study is to assess the role of HBOT in postoperative healing and complication rates following facelift surgery. Methods This case–control study comprised facelift patients who received HBOT and those who did not between 2019 and 2022. Data were extracted from the patients’ medical records, with the primary outcomes being the presence of complications, wound-healing duration, and patient satisfaction. Results The authors recruited 20 female patients who underwent facelift for this study, with 9 patients in the HBOT group and 11 patients in the control group. The average number of HBOT sessions received was 7.22, and each session lasted an average of 78 ± 5 min. The duration of wound healing in the HBOT group ranged from 7 to 30 days (mean of 13.3 days), whereas the contr...