[Hyperbaric oxygen in refractory mandibular osteomyelitis].
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Biomedical subjects
Publications and source records attributed to A Ziser.
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Necrotizing fasciitis was diagnosed in 16 patients during the years 1980 to 1984. All patients were managed by a uniform protocol consisting of radical excisional surgery, intravenous antibiotics, and hyperbaric oxygen therapy. An overall mortality rate of 12.5% was achieved. In view of the encouraging results, this therapeutic regimen is highly recommended.
Soft-tissue infections with tissue necrosis, due to mixed aerobic and anaerobic organisms, are an accepted indication for hyperbaric oxygen (HBO) therapy. A unique type of such infection is Fournier's gangrene. This condition represents a serious risk to life and patients should be treated rapidly and aggressively. We treated three such cases by HBO. All three patients recovered from the infection, although one died later from renal and pulmonary complications.
Six cases of accidental carbon monoxide poisoning in children are presented. The importance of hyperbaric oxygen therapy as the cornerstone of treatment in the prevention of either acute or delayed complications is discussed.
Diving and pneumothorax cannot go together. An air bubble between the visceral and the parietal pleura will change its size according to Boyle's law, and pneumothorax might increase in size during the ascent from a dive. We would like to present the case of a professional diver, who was engaged in active diving for a period of five months during which time he made 80 to 85 dives with pneumothorax. As far as we know, this is the first such case published in the medical literature. We should also like to emphasize the protracted nature of the pneumothorax, which persisted for that time without changing size. This diver had no medical problems with diving, and the deeper he descended, the better he felt. No tension pneumothorax ever occurred and the diagnosis was made by chance.
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