Hyperbaric Oxygen for Osteonecrosis with Stephen Walsh

Stephen Walsh, a consultant oral and maxillofacial surgeon at St Richard’s Hospital, Chichester, talks us through some gruesome cases

First, a case of non-healing wounds that, finally, healed after a course of hyperbaric oxygen therapy (HBOT)

Secondly, a very scary case of necrotising fasciitis of a woman’s face, that responded very well to HBOT. Immediate HBOT helped to demarcate the viable tissue prior to first surgical debridement.

Stephen goes on to talk about osteonecrosis of the jaw and deep bone infection can occur after simple tooth extraction. In one case, the patient declined treatment and progressively worsened, whilst the next case responded favourably to HBOT.

So how does it work?

“As far as I’m concerned, it’s just bloody magic.” – a giggle from the audience show’s we’re still awake at 16:30 on a lovely sunny Friday afternoon.

Stephen briefly talks through the inflammatory modulation before summarising: “I feel like I’m on a Pantene advert – here’s the science bit.”


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