The role of oxygen in wound healing: a review of the literature

Dermatol Surg. 2008 Sep;34(9):1159-69. doi: 10.1111/j.1524-4725.2008.34254.x. Epub 2008 May 29.

Abstract

Background: The presence of oxygen is necessary for normal wound healing. Oxygen has been given as a therapeutic modality to assist and speed wound healing.

Objective: The objective was to summarize the role of oxygen in wound healing.

Materials and methods: A literature review of clinical and basic science studies regarding oxygen and wound healing was conducted.

Results: Hypoxia appears to jump start wound healing via hypoxia-inducible factor 1alpha and reepithelialization. Nonetheless, oxygen is often required to start or sustain other wound healing processes.

Conclusion: Both the absence and the presence of oxygen have effects on wound healing; however, its role is not completely understood. Although hyperbaric oxygen and topical oxygen therapy have been described in aiding wound healing, case-controlled prospective studies are lacking and evidence for their efficacy is inconsistent. The authors have indicated no significant interest with commercial supporters.

Publication types

  • Review

MeSH terms

  • Animals
  • Bandages
  • Collagen / metabolism
  • Diabetes Mellitus / physiopathology
  • Humans
  • Hyperbaric Oxygenation
  • Infection Control
  • Inflammation / physiopathology
  • Neovascularization, Physiologic / physiology
  • Oxygen / metabolism*
  • Oxygen / therapeutic use
  • Oxygen Consumption
  • Smoking / physiopathology
  • Stress, Psychological / physiopathology
  • Wound Healing / drug effects
  • Wound Healing / physiology*

Substances

  • Collagen
  • Oxygen