In this study the authors set out to determine whether postoperative h
yperbaric oxygen (HBO) therapy increases the survival rate of the comp
osite graft in the rat ear model, A composite gran (1 x 0.5 cm(2)) tha
t included skin, subcutaneous tissue, and cartilage was created from t
he left ear, and was transferred onto the posterior auricular site of
the right ear. The animals were divided into two groups: a control gro
up (N = 10) and an experimental group receiving HBO (N = 10). The expe
rimental group was given HBO immediately following reattachment: for 4
hours, and then for 6 hours each day for 5 days (2 atm). The results
showed the average ear flap survival area in the experimental group wa
s 82%, and it was 26.5% in the control group (p < 0.01). Histology dem
onstrated the existence of neovascularization in the experimental grou
p. We have concluded that postoperative HBO therapy increases the surv
ival of the rat ear composite graft, and that the effect of this thera
py is influenced by the magnitude (size and thickness) of the graft.