|Harmonic scalpel in pharyngolaryngectomy with radical neck dissection.|
|PMID: 19128668 Owner: NLM Status: MEDLINE|
|OBJECTIVE: The aim of this study was to verify the efficacy and applicability of the Ultracision Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, OH) in pharyngolaryngectomy with radical neck dissection.
DESIGN: This work evaluated the use of the Harmonic Scalpel in otolaryngology as a new and alternative method to overcome some complications of traditional surgery.
SETTING: The study was conducted with 20 patients in the ENT Department of the University of Genoa (Italy) between January 1, 2005, and December 31, 2006.
METHODS: A prospective, randomized study was undertaken on 20 pharyngolaryngectomies with radical neck dissection performed using a Harmonic Scalpel (10 patients) or traditional surgery (10 patients).
MAIN OUTCOME MEASURES: The evaluation included operation time, intraoperative blood loss, postoperative seroma formation, and pattern of wound healing.
RESULTS: In patients treated with Harmonic Scalpel, the mean operation time was significantly shorter, the blood loss was less, laryngeal and neck drainage on the first and second postoperative days was significantly smaller, and no postoperative complications were noted.
CONCLUSIONS: The use of the Harmonic Scalpel during pharyngolaryngectomy and radical neck dissection led to diminished bleeding, shorter operative time, less seroma formation, and better wound healing in the postoperative period.
|Angelo Salami; Maurizio Bavazzano; Renzo Mora; Massimo Dellepiane|
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|Type: Comparative Study; Journal Article; Randomized Controlled Trial|
|Title: Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale Volume: 37 ISSN: 1916-0216 ISO Abbreviation: J Otolaryngol Head Neck Surg Publication Date: 2008 Oct|
|Created Date: 2009-01-08 Completed Date: 2009-06-16 Revised Date: 2013-04-10|
Medline Journal Info:
|Nlm Unique ID: 101479544 Medline TA: J Otolaryngol Head Neck Surg Country: Canada|
|Languages: eng Pagination: 633-7 Citation Subset: IM|
|ENT Department, University of Genoa, Genoa, Italy.|
|APA/MLA Format Download EndNote Download BibTex|
Blood Loss, Surgical / physiopathology
Carcinoma, Squamous Cell / pathology, surgery
Combined Modality Therapy
Drainage / statistics & numerical data
Laryngeal Neoplasms / pathology, surgery
Laryngectomy / instrumentation*, methods
Length of Stay
Neck Dissection / instrumentation*, methods
Pain, Postoperative / physiopathology
Pharyngeal Neoplasms / pathology, surgery
Pharyngectomy / instrumentation*, methods
Sensitivity and Specificity
Wound Healing / physiology
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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