Abstract
The history surrounding hyperbaric oxygen (HBO) therapy generally, and its use in mandibular osteoradionecrosis (ORN) specifically, is not new and can be traced back many years. Since Henshaw described compressed air in 1662 and Priestly’s discovery of oxygen a century later, HBO has been used for the treatment of many maladies. Mandibular ORN has been recognized as a complication of radiotherapy since the early part of this century. Regaud first provided a clinical discussion of ORN in 1922 and since that time a variety of treatment modalities have been used to arrest or reverse this entity [1, 2]. This discussion will comprehensively review ORN in the mandible; specifically dealing with its incidence, pathophysiology, clinical presentation and its diagnosis. Then we will look realistically at the management of ORN with HBO, its protocol and its results in arresting this disease.
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