COMPROMISED GRAFTS AND FLAPS
Rationale
Hyperbaric oxygen therapy (HBO2T) is neither necessary nor recommended for
the support of normal, uncompromised grafts or flaps. However, in tissue compromised by irradiation
or in other cases where there is decreased perfusion or hypoxia, HBO2T
has been shown to be extremely useful in flap salvage. Hyperbaric oxygen can help maximize the
viability of the compromised tissue thereby reducing the need for regrafting or
repeat flap procedures. The criteria for
selecting the proper patients that are likely to benefit from adjunctive
hyperbaric oxygen for graft or flap compromise is crucial for a successful
outcome. Identification of the
underlying cause for graft or flap compromise can assist in determining the
proper clinical management and use of hyperbaric oxygen therapy. A number of studies have shown the efficacy
of HBO2T on enhancement of flap and graft survival in a variety of
experimental and clinical situations.
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More Information and References can be found
in the 12th Edition of the Hyperbaric Oxygen Therapy Indications
Book. For Sale on
the UHMS
Publications page.