Abstract:
:Ulcers in radiated skin continue to be a challenge for health care practitioners. Healing impairment in the setting of radiation-damaged tissue will most of the time lead to chronic wounds that reduce the patient's quality of life. In this review, we present an update of the pathophysiology of tissue damage caused by radiation that leads to chronic ulceration. We also explore the evidence available on the different prevention and treatment modalities that have been reported in the literature. The evidence for most preventive measures is inconclusive; however, sucralfate and amifostine seem to be the adequate recommendations for prophylaxis. As for treatment of ulcerated patients, the strongest level of evidence found was for the use of pentoxifylline, but proper trials are still scarce to be considered standard adjuvant therapy. Hyperbaric oxygen, cytokines and other growth factors and surgical interventions have shown some benefit in case reports and case series only. Other therapies show promise based on their mechanism of action but need to be tested in human studies and clinical trials.
journal_name
Int Wound Jjournal_title
International wound journalauthors
Olascoaga A,Vilar-Compte D,Poitevin-Chacón A,Contreras-Ruiz Jdoi
10.1111/j.1742-481X.2008.00436.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
246-57issue
2eissn
1742-4801issn
1742-481Xpii
IWJ436journal_volume
5pub_type
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pub_type: 杂志文章,多中心研究,随机对照试验
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