The experience of hyperbaric oxygen therapy in soft tissue radionecrosis: a case report

Yıl 2006, Cilt: 21 Sayı: 1, 47 - 51, 01.02.2006

Şefika Körpınar , Akın Savaş Toklu Didem Karaçetin

Öz

Radiation's late effects may lead to complex and potentially devastating complications in normal tissue. In many cases, resulting radionecrotic lesions seriously impair form and function which may be life-threatening and more devastating than primary malignant disease. Hyperbaric oxygen therapy is being used for treatment of radionecrosis for the last twenty years and is included in indication list of two important scientific committees, Undersea and Hyperbaric Medical Society (UHMS) and European Commitee for Hyperbaric Medicine (ECHM). In this report, we present an upper outside quadrant of the breastsoft tissue radionecrosis case which treated with HBO. The efficacy of hyperbaric oxygenation was followed by LENT/SOMA scoring. After 40 sessions of daily 90 minutes of HBO therapy at 2.0 ATA (athmosphere absolute) in a monoplace pressure chamber, the LENT/SOMA scoring which was 23/1.642 (LENT score 1/2) on admission found to be 12/0.857 by the end of the therapy and 4/0.285 on sixth month control examinations.

Anahtar Kelimeler

Hyperbaric Oxygenation, Radiotherapy, Radiation Injuries, Middle Aged, Female, Necrosis

Yumuşak doku radyonekrozunda hiperbarik oksijen tedavisi deneyimi: Olgu sunumu

Öz

Geç dönem radyasyon hasarları organ ve dokularda ciddi yapısal ve fonksiyonel bozukluklara yol açabilir. Yirmi yılı aşkın süredir radyonekrozların tedavisinde kullanılan “Hiperbarik Oksijen Tedavisi”, Undersea Hyperbaric Medical Society (UHMS) ve European Committee for Hyperbaric Medicine (ECHM) gibi Hiperbarik Tıp alanındaki çok önemli iki bilimsel kuruluşun endikasyonlar listesinde yer almaktadır. Bu yazıda nadir bir klinik prezentasyon olarak meme üst dış kadran yerleşimli enfekte yumuşak doku radyonekrozu olgusunda tek başına hiperbarik oksijen tedavisi ile elde edilen sonuçlar sunuldu. Tedavinin etkinliği LENT/SOMA cetveli ile takip edildi. Başlangıçta 23/1.642 olan LENT/SOMA skoru (LENT skoru 1/2), tek kişilik basınç odasında 2 ATA (atmosfer absolut) basınçta, 90 dakika süreyle uygulanan toplam 40 seanslık tedavinin ardından 12/0.857 ve altı ay sonunda 4/0.285 olarak belirlendi.

Anahtar Kelimeler

Hiperbarik oksijen, radyoterapi, radyasyon hasarı, yumuşak doku radyonekrozu

Kaynakça

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