Evidence map›Paper›PMID 35488468›Full record

ArticleHead & neck2022

The impact of hyperbaric oxygen therapy on late irradiation injury in oral microcirculation.

Renée Helmers, Dan M J Milstein, Nina F Straat, Arash Navran, David N Teguh, Robert A van Hulst, Ludi E Smeele, Jan de Lange

Open access · hybridAbstract read
In one paragraph

Article in Head & neck, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Between hope and uncertainty: the elusive evidence on hyperbaric oxygen therapy and radiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Hyperbaric oxygen therapy for late radiation tissue injury.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Trial
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Renée HelmersDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-0042-6493
Dan M J MilsteinDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Nina F StraatDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Arash NavranDepartment of Radiation Oncology, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.ORCID 0000-0001-7006-7807
David N TeguhDepartment of Surgery/Hyperbaric Medicine, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Robert A van HulstDepartment of Surgery/Hyperbaric Medicine, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Ludi E SmeeleDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Jan de LangeDepartment of Oral and Maxillofacial Surgery, Amsterdam University Medical Centre (UMC), AMC, University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam University Medical Centers · NLThe Netherlands Cancer Institute · NLAcademic Center for Dentistry Amsterdam · NL

Funding

Fonds NutsOHRA 1303-014
6 · The paper itself

Abstract

backgroundLate side effects of radiotherapy in patients with head and neck cancer (HNCPs) result in decreased tissue vascularity, a compromised healing capacity and spontaneous breakdown of tissue. The aim of this study was to examine the in vivo effect of hyperbaric oxygen therapy (HBOT) on the microcirculation in irradiated oral tissue.

methodsUsing a handheld microscope, the effect of HBOT on oral mucosal microcirculation parameters was measured in 34 previously irradiated HNCPs prior to HBOT and at 4 weeks and 6 months posttreatment.

resultsA significant increase in mean buccal vessel density and decrease in buccal vessel diameter was found 6 months after HBOT compared to baseline, 22 ± 11 versus 25 ± 7 cpll/mm

conclusionOur results indicate that oral microcirculation histopathology associated with irradiation is able to respond to HBOT by redirecting oral microcirculation parameters towards values consistent with healthy tissue.

Indexed as

Head and Neck NeoplasmsHyperbaric OxygenationRadiation InjuriesDisease ProgressionHumansMicrocirculationMouth Mucosahead and neck cancerhyperbaric oxygen therapyincident dark-field imaginglate irradiation injurymicrocirculation

Identifiers

PMID35488468
PMCPMC9321996
OpenAlexW4225255715

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.