Gutiérrez GC, Ferreira AFE, Moreno CJE, Ruiz-Funes MAP, Del Hierro GCE

Language: Spanish
References: 11
Page: 90-96
PDF size: 369.18 Kb.

ABSTRACT

Hyperbaric oxygen therapy is defined as the systemic intermittent administration of 100% oxygen under a greater pressure than the atmospheric one. Skin pocket ischemia has been reported in the graft between 9.8 and 13.8% of the patients after auricular reconstruction. The hyperbaric oxygen chamber has been effectively at reducing tissue ischemia in other pathologies. There are no reports of this auxiliary therapy in patients with auricular reconstruction. The objective of this study is to report our experience using hyperbaric oxygen in 15 cases after surgery in auricle reconstruction that show a complication ischemia of the skin pocket and were sent to the hyperbaric chamber. We carried out an observational, descriptive, prolective and transversal study to analyze patient’s clinical files and photographs of patients after surgery of auricle reconstruction with skin pocket ischemia of the skin graft sent to a hyperbaric oxygen chamber. The number of sessions was an average of 13.3 per patient. There were three reoperations. There were no hyperbaric oxygen therapy complications, therefore, we concluded the use of hyperbaric oxygen therapy in postsurgical auricular reconstruction patients with skin pocket ischemia was a useful tool to improve oxygenation in hypoxic tissues, however, we must evaluate the risk/benefit for the possibility of ear barotrauma in healthy ears, even though this was not the case in this study.

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