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HBO Therapy in Otolaryngology

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Textbook of Hyperbaric Medicine

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Abstract

This chapter deals with applications of HBO in otolaryngology. Sudden deafness and acute acoustic trauma are good indications for HBO therapy, and there is improvement of these conditions if the treatment is carried out soon after the onset of symptoms. However, HBO therapy is an adjunctive to conventional treatments and not an alternative. HBO is effective in relieving tinnitus as a component of inner ear disorders, but its use for tinnitus alone as a symptom is questionable. HBO is usually ineffective in chronic conditions encountered in otolaryngology where chronic anoxic is a factor in pathogenesis, e.g., its use in Meniere’s syndrome is controversial. In symptoms secondary to ischemia, e.g., of the acoustic nerve, its HBO may be effective in the chronic stages, as the situation is comparable to that of ischemia in the brain. Effectiveness in facial palsy (Bell’s palsy) has not been proven, although good results have been obtained in several series of patients. Malignant otitis externa is a good indication for the use of HBO as the effect of HBO in enhancing the effect of antibiotics is well documented.

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References

  • Aslan I, Oysu C, Veyseller B, Baserer N. Does the addition of hyperbaric oxygen therapy to the conventional treatment modalities influence the outcome of sudden deafness? Otolaryngol Head Neck Surg. 2002;126:121–6.

    PubMed  Google Scholar 

  • Baldwin TM. Tinnitus, a military epidemic: is hyperbaric oxygen therapy the answer? J Spec Oper Med. 2009;9:33–43.

    PubMed  Google Scholar 

  • Bath AP, Rowe JR, Innes AJ. Malignant otitis externa with optic neuritis. J Laryngol Otol. 1998;112:274–7.

    CAS  PubMed  Google Scholar 

  • Bennett MH, Kertesz T, Perleth M, Yeung P, Lehm JP. Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus. Cochrane Database Syst Rev. 2012;10, CD004739.

    PubMed  Google Scholar 

  • Bohmer D. Treating tinnitus with hyperbaric oxygenation. Int Tinnitus J. 1997;3:137–40.

    CAS  PubMed  Google Scholar 

  • Carfrae MJ, Kesser BW. Alignant otitis externa. Otolaryngol Clin North Am. 2008;41:537–49.

    PubMed  Google Scholar 

  • Chandler JR. Malignant external otitis. Laryngoscope. 1968;78:1257.

    Google Scholar 

  • Colombari GC, Rossato M, Feres O, Hyppolito MA. Effects of hyperbaric oxygen treatment on auditory hair cells after acute noise damage. Eur Arch Otorhinolaryngol. 2011;268:49–56.

    PubMed  Google Scholar 

  • Dauman R, Cros AM, Poisot D. Treatment of sudden deafness: first results of a comparative study. J Otolaryngol. 1985;14:49–56.

    CAS  PubMed  Google Scholar 

  • Davis JC, Gates GA, Lerner C, et al. Adjuvant hyperbaric oxygen in malignant external otitis. Arch Otolaryngol Head Neck Surg. 1992;118:89–93.

    CAS  PubMed  Google Scholar 

  • Delb W, Muth CM, Hoppe U, Iro H. Outcome of hyperbaric oxygen therapy in therapy refractory tinnitus. HNO. 1999;47:1038–45.

    CAS  PubMed  Google Scholar 

  • Demaertelaere L, Van Opstal M. Treatment of acoustic trauma with hyperbaric oxygen. Acta Oto Rhino Laryngol Belg. 1981;5:303–14.

    Google Scholar 

  • Desloovere C. Hyperbaric oxygen therapy for tinnitus. B-ENT. 2007;3 Suppl 7:71–4.

    PubMed  Google Scholar 

  • Domachevsky L, Keynan Y, Shupak A, Adir Y. Hyperbaric oxygen in the treatment of sudden deafness. Eur Arch Otorhinolaryngol. 2007;264:951–3.

    PubMed  Google Scholar 

  • Dundar K, Gumus T, Ay H, Yetiser S, Ertugrul E. Effectiveness of hyperbaric oxygen on sudden sensorineural hearing loss: prospective clinical research. J Otolaryngol. 2007;36:32–7.

    PubMed  Google Scholar 

  • Efuni SN, Levashova AS, Lyskin GI. Hyperbaric oxygenation in the treatment of the cochleovestibular system. Sov Med. 1980;5:45–9.

    Google Scholar 

  • Fattori B, De-Iaco G, Vannucci G, Casani A, Ghilardi PL. Alternobaric and hyperbaric oxygen therapy in the immediate and long-term treatment of Meniere’s disease. Audiology. 1996;35:322–34.

    CAS  PubMed  Google Scholar 

  • Fattori B, Nacci A, Casani A, et al. Oxygen therapy in the long term treatment of Meniere’s disease. Acta Otorhinolaryngol Ital. 2001;21:1–9.

    CAS  PubMed  Google Scholar 

  • Fechter LD, Young JS, Carlisle L. Potentiation of noise induced threshold shifts and hair cell loss by carbon monoxide. Hear Res. 1988;34:39–48.

    CAS  PubMed  Google Scholar 

  • Goto F, Fujita T, Kitani Y, Kanno M, Kamei T, Ishii H. Hyperbaric oxygen and stellate ganglion blocks for idiopathic sudden hearing loss. Acta Otolaryngol. 1979;88:335–42.

    CAS  PubMed  Google Scholar 

  • Guseinov NM, Konstantinova NP, Lukich VL, et al. Our experience in the hyperbaric oxygenation treatment of patients with acute sensorineural hearing disorders of vascular etiology. Vestn Otorinolaringol. 1989;4:76–9.

    Google Scholar 

  • Hesse S, Meyer A, Singer S, Hinz A. Mental distress and quality of life in tinnitus patients. Laryngorhinootologie. 2012;91:774–81.

    CAS  PubMed  Google Scholar 

  • Hlozek J, Slapak I, Kucera P. Rational treatment of external otitis. Cas Lek Cesk. 1989;128:1594–6.

    CAS  PubMed  Google Scholar 

  • Holland NJ, Bernstein JM, Hamilton JW. Hyperbaric oxygen therapy for Bell's palsy. Cochrane Database Syst Rev. 2012;2, CD007288.

    Google Scholar 

  • Inci E, Erisir F, Ada M, Oztürk O, Güçlü E, Oktem F, et al. Hyperbaric oxygen treatment in sudden hearing loss after unsuccessful medical treatment. Kulak Burun Bogaz Ihtis Derg. 2002;9:337–41.

    PubMed  Google Scholar 

  • James PB. Hyperbaric oxygen in the therapy of aphonia associated with chronic laryngitis. Presented at the 9th international congress on hyperbaric medicine, Sydney, Australia, 1–4 March 1987.

    Google Scholar 

  • Kau RJ, Sendtner-Gress K, Ganzer U, Arnold W. Effectiveness of hyperbaric oxygen therapy in patients with acute and chronic cochlear disorders. ORL J Otorhinolaryngol Relat Spec. 1997;59:79–83.

    CAS  PubMed  Google Scholar 

  • Kestler M, Strutz J, Heiden C. Hyperbaric oxygenation in early treatment of sudden deafness. HNO. 2001;49:719–23.

    CAS  PubMed  Google Scholar 

  • Kozyro VI, Matskevich MV. Clinical aspects of using hyperbaric oxygenation in the treatment of different forms of neurosensory hypoacusis. In: Yefuny SN, editor. Abstracts of the 7th International Congress on HBO Medicine. Moscow: USSR Academy of Sciences; 1981. p. 306–7.

    Google Scholar 

  • Kuokkanen J, Aarnisalo AA, Ylikoski J. Efficiency of hyperbaric oxygen therapy in experimental acute acoustic trauma from firearms. Acta Otolaryngol Suppl. 2000;543:132–4.

    CAS  PubMed  Google Scholar 

  • Lamm H. Klinische Ergebnisse nach Behandlung von Innenohrschwerhörigkeiten mit hyperbarem Sauerstoff. Halle/Saale: Contribution at the HNO Annual Congress of the DDR; 1969.

    Google Scholar 

  • Lamm K, Arnold W. Successful treatment of noise-induced cochlear ischemia, hypoxia, and hearing loss. Ann N Y Acad Sci. 1999;884:233–48.

    CAS  PubMed  Google Scholar 

  • Lamm H, Gerstmann W. Erste Erfahrungen mit der hyperbaren Oxygenation in der Otologie. Wochenschr Ohrenheilk (Wien). 1974;108:6–11.

    Google Scholar 

  • Lamm H, Klimpel L. Hyperbare Sauerstofftherapie bei Innenohrund Vestibularisstörungen. HNO. 1971;19:363–9.

    CAS  PubMed  Google Scholar 

  • Lamm H, Dahl D, Gerstmann W. Die Wirkung von hyperbarem Sauerstoff (OHP) auf die hypoxisch geschädigte Cochlea des Meerschweinchens. Arch Otorhinolaryngol. 1977;217:415–21.

    CAS  PubMed  Google Scholar 

  • Lamm H, Lamm K, Zimmermann W. The effects of hyperbaric oxygen on experimental noise damage to the ears. Arch Otorhinolaryngol. 1982;236:237–44.

    CAS  PubMed  Google Scholar 

  • Lamm H, Lamm K. The effect of hyperbaric oxygen on the inner ear. In: Kindwall EP (ed.) Proceedings of the 8th International Congress on Hyperbaric Medicine. San Pedro, CA: Best Publishing; 1987:35.

    Google Scholar 

  • Lamm CH, Walliser U, Schumann K, Lamm K. Sauerstoffpartialdruck-Messungen in der Perilymphe der Scala tympani unter normound hyperbaren Bedingungen. HNO. 1988;36:363–6.

    CAS  PubMed  Google Scholar 

  • Lamm K, Lamm CH, Lamm H, Schumann K. The effect of hyperbaric oxygen on noise-induced hearing loss. An experimental study using simultaneous measurements of oxygen partial pressure in the inner ear, hearing potentials, arterial blood pressure and blood gas analyses. In: Schmutz J, Bakker D (Eds.) Proceedings of the joint meeting: 2nd Swiss symposium on hyperbaric medicine and 2nd European conference on hyperbaric medicine, Basel, Switzerland, Sept 22–24, 1989a.

    Google Scholar 

  • Lamm K, Lamm CH, Lamm H, Schumann K. Simultane Laser-Doppler-Flow Metrie zur Bestimmung des kochleären Blutflusses, Sauerstoffpartialdruckmessungen und Elektrokochleographie während Hämootilution. 60th annual meeting, Deutsche Gesellschaft HNO Heilkunde, Kiel, 1989b.

    Google Scholar 

  • Lamm K, Lamm H, Arnold W. Effect of hyperbaric oxygen therapy in comparison to conventional or placebo therapy or no treatment in idiopathic sudden hearing loss, acoustic trauma, noise-induced hearing loss and tinnitus. A literature survey. Adv Otorhinolaryngol. 1998;54:86–99.

    CAS  PubMed  Google Scholar 

  • Le Mouel C, Renon P, Asperge SUC, Asperge A. Hyperbaric treatment of dive-induced inner ear accidents. Med Subaquat Hyperbare. 1981;79:242–6.

    Google Scholar 

  • Ling SS, Sader C. Fungal malignant otitis externa treated with hyperbaric oxygen. Int J Infect Dis. 2008;12:550–2.

    PubMed  Google Scholar 

  • Litavrin AF, Platonova GB, Gribanov VA. Hyperbaric oxygenation in the treatment of facial neuritis. Zh Nevropatol Psikhiatr. 1985;85:528–31.

    CAS  PubMed  Google Scholar 

  • Lucente RG, Parisier SC. Sone PM Complications of the treatment of malignant external otitis. Laryngoscope. 1983;93:279.

    CAS  PubMed  Google Scholar 

  • Lyskin GI, Lebshova AS. Hyperbaric oxygenation in the treatment of labyrinthopathies of vascular genesis. In Yefuny SN (Ed.) Abstracts of the 7th International Congress on Hyperbaric Medicine. USSR Academy of Sciences, Moscow, 1981. p 307.

    Google Scholar 

  • Mader JT, Love JT. Malignant external otitis. Cure with adjunctive hyperbaric oxygen therapy. Arch Otolaryngol. 1982;108:38–40.

    CAS  PubMed  Google Scholar 

  • Makishima K, Yoshida M, Kuroda Y, et al. Hyperbaric oxygenation as a treatment for facial palsy. Adv Otorhinolaryngol. 1998;54:110–8.

    CAS  PubMed  Google Scholar 

  • Martel J, Duclos JY, Darrouzet V, et al. Malignant or necrotizing otitis externa: experience in 22 cases. Ann Otolaryngol Chir Cervicofac. 2000;117:291.

    CAS  PubMed  Google Scholar 

  • Muminov AI, Khatamov ZA, Masharipov RR. Antioxidants and hyperbaric oxygenation in the treatment of sensorineural hearing loss in children. Vestn Otorinolaringol. 2002;5:33–4.

    Google Scholar 

  • Murakawa T, Kosaka M, Mori Y, Fukazawa M, Misaki K. Treatment of 522 patients with sudden deafness performed oxygenation at high pressure. Nippon Jibiinkoka Gakkai Kaiho. 2000;103:506–15.

    CAS  PubMed  Google Scholar 

  • Nakashima T, Fukuta S, Yanagita N. Hyperbaric oxygen therapy for sudden deafness. Acta Otorhinolaryngol (Basel). 1998;54:100–9.

    CAS  Google Scholar 

  • Narozny W, Sicko Z, Przewozny T, Stankiewicz C, Kot J, Kuczkowski J. Sudden sensorineural hearing loss: a treatment protocol including glucocorticoids and hyperbaric oxygen therapy. Otolaryngol Pol. 2004;58:821–30.

    PubMed  Google Scholar 

  • Nakata M. Hyperbaric oxygen therapy for facial palsy. Jpn J Hyperb Med. 1976;10:99–103.

    Google Scholar 

  • Pavlik L. Hyperbaric oxygen therapy in Meniere’s disease. Cesk Otolaryngol. 1976;25:160–3.

    CAS  PubMed  Google Scholar 

  • Pilgramm H. Klinische, hämoreologische und tierexperimentelle Untersuchungen zur Therapieoptierung des akuten Knalltraumas. Certificate of Habilitation (Thesis): University of Greifswald, Germany; 1991.

    Google Scholar 

  • Pilgramm M, Schumann K. Hyperbaric oxygen therapy for acute acoustic trauma. Arch Otorhinolaryngol. 1985;241:246–57.

    Google Scholar 

  • Pilgramm M, Lamm H, Schumann K. Zur hyperbaren Sauerstofftherapie beim Hörsturz. Larngologie Rhinol Otol. 1985;64:351–4.

    CAS  Google Scholar 

  • Pilgramm M, Fischer B, Frey G, Roth M. Change in rheological parameters under hyperbaric oxygen therapy in patients with inner ear damage. Kobe, Japan: Ninth international symposium on underwater and hyperbaric physiology; 1986.

    Google Scholar 

  • Qu Zhan-Kui. A brief introduction to the HBO Dept. In Hospital of YangShang petrochemical corporation paper presented at the 5th congress of hyperbaric medicine, Fuzhow, China, 1986.

    Google Scholar 

  • Racic G, Denoble PJ, Sprem N, et al. Hyperbaric oxygen as a therapy of Bell’s palsy. Undersea Hyperb Med. 1997;24:35–8.

    CAS  PubMed  Google Scholar 

  • Racic G, Petri NM, Andric D. Hyperbaric oxygen as a method of therapy of sudden sensorineural hearing loss. Int Marit Health. 2001;52:74–84.

    CAS  PubMed  Google Scholar 

  • Rzayev RM. Role of hypoxia in pathogenesis of occupational hypoacusis and normalizing action of hyperbaric oxygenation on saturation of arterial blood with oxygen. Zh Ushn Nos Gorl Bolez. 1981;41:22–5.

    Google Scholar 

  • Salihoğlu M, Ay H, Cincik H, Cekin E, Cesmeci E, Memis A, et al. Efficiency of hyperbaric oxygen and steroid therapy in treatment of hearing loss following acoustic trauma. Undersea Hyperb Med. 2015;42:539–46.

    PubMed  Google Scholar 

  • Shiraishi T, Satou Y, Makishima K. Hyperbaric oxygenation therapy in idiopathic sudden sensory neural hearing loss. Nippon Jibiinkoka Gakkai Kaiho. 1998;101:1380–4.

    CAS  PubMed  Google Scholar 

  • Shupak A, Greenberg E, Hardoff R, et al. Hyperbaric oxygenation for necrotizing (malignant) otitis externa. Arch Otolaryngol Head Neck Surg. 1989;115:1470–5.

    CAS  PubMed  Google Scholar 

  • Takahashi H, Sakakibara K, Murahashi K, Yanagita N. HBO for sudden deafness – a statistical survey over 907 ears. In: Schmutz J, Bakker D, editors. Proceedings of the 2nd Swiss Symposium on Hyperbaric Medicine. Basel: Foundation for Hyperbaric Medicine; 1989.

    Google Scholar 

  • Tan J, Tange RA, Dreschler WA, vd Kleij A, Tromp EC. Long-term effect of hyperbaric oxygenation treatment on chronic distressing tinnitus. Scand Audiol 1999;28: 91–6.

    Google Scholar 

  • Ueda H, Shien CW, Miyazawa T, et al. Otological complications of hyperbaric oxygen therapy. Adv Otorhinolaryngol. 1998;54:119–26.

    CAS  PubMed  Google Scholar 

  • Tjernström Ö, Casselbrant M, Harris S, Ivarsson A. Current status of pressure chamber treatment. Otolaryngol Clin North Am. 1980;13:723–9.

    PubMed  Google Scholar 

  • van der Veen EL, van Hulst RA, de Ru JA. Hyperbaric oxygen therapy in acute acoustic trauma: a rapid systematic review. Otolaryngol Head Neck Surg. 2014;151:42–5.

    PubMed  Google Scholar 

  • Vavrina J, Muller W. Therapeutic effect of hyperbaric oxygenation in acute acoustic trauma. Rev Laryngol Otol Rhinol (Bord). 1995;116:377–80.

    CAS  Google Scholar 

  • Yan B, Kong W, Shi H, Wang J, Sun D. Idiopathic sudden deafness: the therapeutic evaluation of hyperbaric oxygen treatment. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006;20:309–11.

    PubMed  Google Scholar 

  • Ylikoski J, Mrena R, Makitie A, Kuokkanen J, Pirvola U, Savolainen S. Hyperbaric oxygen therapy seems to enhance recovery from acute acoustic trauma. Acta Otolaryngol. 2008;128:1110–5.

    CAS  PubMed  Google Scholar 

  • Zhang D, Ma Y. Repetitive transcranial magnetic stimulation improves both hearing function and tinnitus perception in sudden sensorineural hearing loss patients. Sci Rep. 2015;5:14796.

    CAS  PubMed  PubMed Central  Google Scholar 

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  1. 1 Blaesiring 7, Basel, 4057, Switzerland

    K. K. Jain MD, FRACS, FFPM

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Jain, K.K. (2017). HBO Therapy in Otolaryngology. In: Textbook of Hyperbaric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-47140-2_31

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  • DOI: https://doi.org/10.1007/978-3-319-47140-2_31

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