| Use of the harmonic scalpel in superficial and total parotidectomy for benign and malignant disease. | |
| | |
MedLine Citation:
|
PMID: 15933523 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: Use of the harmonic scalpel in superficial parotidectomy for benign parotid disease has been shown to reduce surgical time as well as intraoperative blood loss. We sought to determine whether similar results could be achieved with the expanded use of the harmonic scalpel in parotidectomy for both benign and malignant disease. STUDY DESIGN: Retrospective review. METHODS: The medical records of all patients undergoing superficial or total parotidectomy from 1999 to 2004 were reviewed. Patients were excluded for a history of bleeding disorder, prior facial nerve weakness, or concurrent neck dissection at the time of parotidectomy. RESULTS: Forty-four patients underwent harmonic scalpel parotidectomy and 41 patients underwent conventional cold knife parotidectomy (control group). Use of the harmonic scalpel was associated with a significant reduction in intraoperative blood loss (38.0 +/- 3.6 mL vs. 66.0 +/- 10.8 mL for controls, P < 0.05) and duration of drainage (31.80 +/- 2.4 h vs. 39.29 +/- 2.21 h for controls, P < 0.05). Use of the harmonic scalpel in superficial parotidectomy (n = 35) compared to controls (n = 37) was associated with a significant reduction in intraoperative blood loss (38.0 +/- 4.23 mL vs. 68.0 +/- 12.0 mL, P < 0.05) and reduced incidence of facial nerve injury (P < 0.05). In patients undergoing total parotidectomy, no significant differences were observed between the harmonic scalpel (n = 9) and control groups (n = 4) in length of surgery, intraoperative blood loss, postoperative drainage, duration of drainage, and facial nerve injury. CONCLUSIONS: Use of the harmonic scalpel in the surgical treatment of parotid disease is safe and confers some advantages over conventional methods of parotid dissection. |
| | |
Authors:
|
Lana L Jackson; Christine G Gourin; Daniel S Thomas; Edward S Porubsky; Frederick N Klippert; David J Terris |
Related Documents
:
|
23064043 - Hybrid epicardial-endocardial ablation using a pericardioscopic technique for the treat... 22991133 - Treatment of levator ani syndrome with cyclobenzaprine (october). 10362373 - Transarterial occlusion of patent ductus arteriosus with gianturco coils in pediatric p... |
Publication Detail:
|
Type: Clinical Trial; Journal Article |
Journal Detail:
|
Title: The Laryngoscope Volume: 115 ISSN: 0023-852X ISO Abbreviation: Laryngoscope Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-06-03 Completed Date: 2005-06-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: United States |
Other Details:
|
Languages: eng Pagination: 1070-3 Citation Subset: IM |
Affiliation:
|
Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, Georgia 30912, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Blood Loss, Surgical / prevention & control Drainage Facial Nerve Injuries / prevention & control Female Humans Laser Coagulation / instrumentation* Male Middle Aged Parotid Diseases / surgery* Parotid Gland / surgery* Parotid Neoplasms / surgery* Retrospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Novel use of a swimming pool biocide in the treatment of a rare fungal mastoiditis.
Next Document: 18F-fluorodeoxyglucose uptake in thyroid from positron emission tomogram (PET) for evaluation in can...