REVIEW OF WOUNDS SECONDARY TO CREST SYNDROMETREATED WITH HYPERBARIC OXYGEN THERAPY Sarah Witts1, Alexandra Bishop1, Gary Smerdon1.1Diving Diseases Research Centre (Plymouth, United Kingdom) Aim: Adjunctive hyperbaric oxygen therapy (HBOT) reduces tissuehypoxia and can be beneficial for enhancement of the wound healingprocess. A patient who received HBOT for wounds secondary to CRESTsyndrome with the aim of preventing major amputation was reviewed. Method: Medical history, treatment regime, wound measurements andphotographs were collected and reviewed to assess outcome following HBOT. Results: A 37 year old male was referred with painful, necrotic, nonhealing nail beds on the 1st and 2nd toes of the left foot which had beencausing problems over the previous 6 months. The patient requested toeamputations due to associated pain and poor quality of life. However, hisconsultant deemed a below knee amputation to be the most likelyscenario due to small vessel disease caused by CREST syndrome. Thepatient received 31 HBOT sessions before surgery to amputate the 1stand 2nd toes was considered viable. The patient returned for a further 38 HBOT sessions along with topical negative pressure therapy. Duringthis time he was able to reduce his analgesia and his wounds werehealing well by secondary intention. Following completion of HBOT thewounds continued to improve and the patient reported improved qualityof life. Conclusion: HBOT can be beneficial as an adjunct for hypoxic wounds.Pre and post-operative HBOT was administered to reduce tissue hypoxiaand inflammation and aid the healing process. This resulted in areduction in the severity of amputation and positive wound healing in apatient with CREST syndrome #HBOT #CREST hbot4u
Posted on: Wed, 16 Apr 2014 03:58:48 +0000
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