顎骨骨髄炎における高圧酸素療法の治療経験

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  • Experience in hyperbaric oxgen therapy of osteomyelitis of the jaw.

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Osteomyelitis of the jaw has been treated by operation and administration of antibiotics. Many cases of osteomyelitis of the jaws usually respond well to surgical drainage and antibiotics. But some rare cases are refractory to conventional therapy.<BR>Hyperbaric oxygen therapy has been successfully used for treatment of osteomyelitis of the long bones. W e recently explored the use of hyperbaric oxygen in the therapy of refractory osteomyelitis of the jaws in 8 patients.<BR>Seven patients were females and one was male. Their ages ranged from 22 to 60 years (mean: 36 years). Five were cases with osteomyelitis of the mandible and three were of the maxilla. The type of osteomyelitis was chronic in seven cases and subacute on one case.<BR>The patients received hyperbaric oxygenation in a chamber under 2 atmospheres absolute pressure, breathing 100 per cent oxygen by mask for 1 hour daily. This was done daily 20 to 30 or more times and after that once or twice a week as maintenance. They were treated by hyperbaric oxygen therapy 31 to 156 times (mean: 87.6 times) for 1.5 to 22 months (mean: 9.3 months). Finally 4 patients were improved and 3 patients were remarkably improved. The symptoms of one patient did not change, but was completely cured after following surgical treatment.

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