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Related Experiment Videos

Bipolar scissors in facial plastic surgery.

C P Winslow1, A Burke, S Bartels

  • 1Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd PV-01, Portland, OR 97201, USA.

Archives of Facial Plastic Surgery
|August 11, 2000
PubMed
Summary

Bipolar scissors offer facial plastic surgeons precise tissue dissection with simultaneous hemostasis. This technique facilitates flap elevation and reduces operative time without increasing complications.

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Area of Science:

  • Plastic Surgery
  • Surgical Technology
  • Otolaryngology

Background:

  • Facial plastic surgeons utilize various tissue dissection methods.
  • Bipolar cautery is preferred over monopolar for reduced tissue damage and improved capabilities.
  • Bipolar scissors combine dissection and hemostasis, with limited literature in otolaryngology.

Purpose of the Study:

  • To evaluate the utility of bipolar scissors in facial plastic and reconstructive surgeries.
  • To document the application of bipolar scissors across diverse surgical procedures.

Main Methods:

  • Retrospective review of 78 procedures using bipolar scissors (June 1997 - August 1999).
  • Procedures included cosmetic (face-lifts, browlifts) and reconstructive (free flaps) surgeries.

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  • Data collected on efficacy and complications.

    • Main Results:

    • Bipolar scissors facilitated dissection in all cases, leading to drier fields and reduced operative time.
    • Hemostasis was effectively achieved.
    • No increase in complications compared to historical controls.
    • Enabled fibula osteocutaneous flap harvesting without a tourniquet.

    Conclusions:

    • Bipolar scissors represent a valuable new technology for facial plastic surgery.
    • They provide sharp dissection control with simultaneous hemostasis.
    • The technique is effective in both cosmetic and reconstructive facial procedures.