Hyperbaric oxygen treatment of mandibular osteoradionecrosis: combined data from DAHANCA-21 and NWHHT2009-1 | Canada Hyperbarics
RCT Radiother Oncol 2021

Hyperbaric oxygen treatment of mandibular osteoradionecrosis: combined data from DAHANCA-21 and NWHHT2009-1

Forner LE, Dieleman FJ, Shaw RJ, et al. — Radiother Oncol, 2021

Tier 1 — Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers combined data from two randomized, controlled multicentre trials to investigate the effect of hyperbaric oxygen (HBO) treatment on mandibular osteoradionecrosis (ORN).

What They Found

Researchers found that 70% (21/30) of patients receiving surgery plus hyperbaric oxygen (HBO) healed, compared to 51% (18/35) of those receiving surgery alone.

HBO was associated with an increased chance of healing and improved xerostomia, unstimulated whole salivary flow rate, and dysphagia, although no statistically significant difference was reached between groups due to insufficient recruitment.

What This Means for Canadian Patients

For Canadian patients with mandibular osteoradionecrosis requiring surgery, hyperbaric oxygen treatment may offer a potential benefit in healing and symptom improvement, such as reduced dry mouth and dysphagia.

However, due to the study's limitations, further research is needed to confirm these findings and establish clear clinical guidelines for its use.

Canadian Relevance

This study has no direct Canadian connection as it was not conducted in Canada or with Canadian participants.

Study Limitations

A primary limitation of this study was insufficient patient recruitment, which prevented the detection of statistically significant differences between treatment groups.

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Study Details

Study Type RCT
Category Radiation Injury
Source Pubmed
PubMed ID 34843843
Year Published 2021
Journal Radiother Oncol

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.