Prepared by Library Advisor:
Tammy L Wigginton, M.S.,CCC/SLP
This refers to additional treatment, usually given after surgery where all detectable disease has been removed, but where there remains a statistical risk of relapse due to occult disease. If known disease is left behind following surgery, then further treatment is not technically “adjuvant”.
Cure most commonly refers to a completely effective treatment for a disease.
This is given before the main treatment. For example, chemotherapy that is given before removal of a larynx is considered neoadjuvant therapy. The most common reason for neoadjuvant therapy is to reduce the size of the tumor so as to facilitate more effective surgery.therapeutic.
Any form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than providing a cure. The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex illness.
HBO – HYPERBARIC OXYGEN THERAPY
Hyperbaric Oxygen Therapy (HBO) is a medical treatment by which oxygen is administered at greater than normal pressure to a patient in order to treat specific medical indications. Long established as the primary therapy in the treatment of medical disorders such as carbon monoxide poisoning and gas gangrene, hyperbaric oxygen therapy is now increasingly being used on an adjunctive basis in the management of a variety of disorders refractory to standard medical and surgical care. HBO has been shown to be particularly effective in treating problem wounds, chronic bone infections and radiation injury. In HBO therapy, the patient is placed in a specially designed chamber, the pressure in the chamber is increased, and 100% oxygen is breathed. Alveolar oxygen pressure is increased, causing a rise in plasma oxygen content which results in enhanced tissue oxygen delivery. The amount of pressure increase and the length of time under pressure are determined by the condition being treated. Treatment pressures are usually between 2 and 3 times atmospheric. Treatments usually last from 1 to 2 hours at full pressure. Hyperbolic Oxygen Therapy
The reason doctors want you to have the HBO treatments is to help the wound heal faster and to help lessen the chance of infection.. I’ve had about 60 treatments over the years.. I’ve had about 15 teeth removed since 1977. I had the treatments because my jaw deteriorated and broke from the radiation treatments I got in 1978. I went to Miami in 1999 to see the best Oral surgeon in the country .. He recommended the HBO treatments after I had my left jaw replaced with a metal plate. There is a large HBO chamber for 6 people I think at Jackson Memorial Hosp in Miami, but I went to a small one in Atlanta near my home. An infection in the jaw is very serious, the HBO treatments help the wound to heal faster because you are saturated in oxygen for a period of time.
There is a large HBO chamber in Philadelphia at the University of Pennsylvania. It can hold up to 10 patients, looks much like a submarine with a movie for the patients, if they wish. Some patients bring books or magazines to read. The dives take about 2 hours give or take a little. A paramedic or nurse is on board. There is testing beforehand to make sure the pressure is not too much for your ears. If it is, they insert tubes, which takes care of that problem. Healing is the target of these treatments, and, they are quite effective.
What is Hyperthermia?
Hyperthermia (also called thermal therapy or thermotherapy) is a type of cancer treatment in which body tissue is exposed to high temperatures (up to 113°F). Research has shown that high temperatures can damage and kill cancer cells, usually with minimal injury to normal tissues
(1). By killing cancer cells and damaging proteins and structures within cells
(2), hyperthermia may shrink tumors.
Hyperthermia is under study in clinical trials (research studies with people) and is not widely available.
More information can be found at:https://www.cancer.gov/about-cancer/treatment/types/surgery/hyperthermia-fact-sheet