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      Successful use of a topical mixture with ozolipoile in the treatment of actinic ulcers

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          Abstract

          Purpose

          Post-radiation skin damage is the result of alterations produced in the irradiated zone. There are different studies aimed at verifying the effectiveness of several kinds of molecules in the treatment of radiation-induced skin damage. The purpose of this study is to test a mixture with a formulation containing several natural active ingredients on actinic ulcers in patients receiving radiation therapies.

          Patients and methods

          The authors recruited 13 patients, and randomly divided them into a test group (T 1) and a control group (T 2). The patients in both groups were undergoing radiotherapy. The T 1 group was treated with a mixture called ozolipoile, whereas the T 2 group was administered hyaluronic acid gel followed by non-ablative laser therapy. We evaluated the obtained results, the time of clinical healing, the reduction of pain, and each side effect, comparing all data between the T 1 and T 2 groups.

          Results

          The average Visual Analog Scale results showed decrease in pain in both groups; however, while the T 1 group showed a significant decrease in the values, the T 2 group reported a more gradual reduction in the values, without ever reaching the minimum values obtained with the treatment with ozolipoile.

          Conclusion

          Treatment of actinic ulcers with ozolipoile mixture leads to faster control of pain and to better healing of small-size ulcers.

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          Most cited references16

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          Hyperbaric oxygen and wound healing

          Hyperbaric oxygen therapy (HBOT) is the use of 100% oxygen at pressures greater than atmospheric pressure. Today several approved applications and indications exist for HBOT. HBOT has been successfully used as adjunctive therapy for wound healing. Non-healing wounds such as diabetic and vascular insufficiency ulcers have been one major area of study for hyperbaric physicians where use of HBOT as an adjunct has been approved for use by way of various studies and trials. HBOT is also indicated for infected wounds like clostridial myonecrosis, necrotising soft tissue infections, Fournier's gangrene, as also for traumatic wounds, crush injury, compartment syndrome, compromised skin grafts and flaps and thermal burns. Another major area of application of HBOT is radiation-induced wounds, specifically osteoradionecrosis of mandible, radiation cystitis and radiation proctitis. With the increase in availability of chambers across the country, and with increasing number of studies proving the benefits of adjunctive use for various kinds of wounds and other indications, HBOT should be considered in these situations as an essential part of the overall management strategy for the treating surgeon.
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            Hyperbaric oxygen therapy as an anti-infective agent.

            Hyperbaric oxygen therapy (HBOT) involves inhalation of 100% oxygen at supra-atmospheric ambient pressure. HBOT is used as either a primary or adjunctive treatment in the management of infections such as gas gangrene, necrotizing fasciitis, diabetic foot infections, refractory osteomyelitis, neurosurgical infections and fungal infections. HBOT acts as a bactericidal/bacteriostatic agent against anerobic bacteria by increasing the formation of free oxygen radicals. HBOT restores the bacterial-killing capacity of leukocytes in hypoxic wounds by increasing tissue oxygen tensions. In addition, HBOT acts synergistically with a number of antibiotics. This article reviews the anti-infective effects of HBOT and the use of HBOT in the treatment of certain infectious diseases.
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              Wound healing in radiated skin: pathophysiology and treatment options.

              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.
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                Author and article information

                Journal
                Clin Cosmet Investig Dermatol
                Clin Cosmet Investig Dermatol
                Clinical, Cosmetic and Investigational Dermatology
                Clinical, Cosmetic and Investigational Dermatology
                Dove Medical Press
                1178-7015
                2015
                01 April 2015
                : 8
                : 147-150
                Affiliations
                [1 ]Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
                [2 ]Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”, Bari, Italy
                [3 ]Private Practice, Dental Clinic, Bari, Italy
                [4 ]Department of Basic Medical Sciences, Neurosciences and Sensorial Organs, University of Bari “Aldo Moro”, Bari, Italy
                [5 ]Maxillofacial Unit, Calabrodental Clinic, Crotone, Italy
                [6 ]Healthcare Center, Marrelli Hospital, Crotone, Italy
                [7 ]UOC of Radiotherapy and Nuclear Medicine IOV – IRCCS, University of Padova, Padova, Italy
                [8 ]Biomedical Section, Tecnologica Research Institute, Crotone, Italy
                Author notes
                Correspondence: Francesco Inchingolo, Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, P.ce Giulio Cesare, General Hospital, Bari, Italy, Tel +39 33 1211 1104, Email prof.inchingolo@ 123456libero.it

                *These authors equally contributed to this research paper

                Article
                ccid-8-147
                10.2147/CCID.S67826
                4386775
                616e2780-8c16-45dd-84a9-a4e5148c7ade
                © 2015 Inchingolo et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Case Series

                Dermatology
                actinic ulcers,radiation-induced ulcers,skin wound,ozonide,wound healing
                Dermatology
                actinic ulcers, radiation-induced ulcers, skin wound, ozonide, wound healing

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