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To the Editor: In their review of wound healing, Drs Bello and Phillips¹ state that the "therapeutic efficacies of hyperbaric oxygen, infrared, UV, low energy and laser irradiation, and ultrasonography have not been sufficiently established to permit recommendations of these therapies for the treatment of pressure, venous, or diabetic ulcers." This statement is based on an article that reiterates the findings of the Agency for Health Care Policy and Research panel that wrote the guidelines for pressure ulcers.²

These guidelines cite 2 references for hyperbaric oxygen therapy.^3-4 Both articles are 3 decades old and address therapy with topical hyperbaric units only. Neither the Undersea and Hyperbaric Medical Society nor the American College of Hyperbaric Medicine recognize topical oxygen therapy as having any therapeutic efficacy. In addition, since its inception the Health Care Financing Administration has prohibited Medicare reimbursement for topical oxygen therapy because of a lack of studies demonstrating efficacy.⁵

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Recent Advances in Wound Healing
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