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Related Experiment Videos

Ultrasonic glossectomy--simple and bloodless.

Anthony Po-Wing Yuen1, Birgitta Yee-Hang Wong

  • 1Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam Road, Hong Kong, SAR, China. pwyuen@hkucc.hku.hk

Head & Neck
|May 12, 2005
PubMed
Summary

Ultrasonic scissors enable bloodless glossectomy, simplifying the procedure for tongue cancer. This surgical technique offers excellent hemostasis and minimal complications, making it a recommended option.

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Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery
  • Minimally Invasive Surgery

Background:

  • Glossectomy is a surgical procedure for tongue cancer.
  • Hemostasis during glossectomy can be challenging.
  • Novel surgical instruments are being evaluated for improved outcomes.

Purpose of the Study:

  • To evaluate the feasibility of glossectomy using an ultrasonic-activated surgical instrument.
  • To assess the efficacy of ultrasonic scissors in achieving hemostasis during glossectomy.

Main Methods:

  • Prospective study of 13 consecutive patients undergoing glossectomy.
  • Utilized ultrasonic scissors exclusively for the procedure.
  • Included partial and total glossectomies for tongue carcinoma.

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Main Results:

  • Median blood loss was 0 mL across all 13 glossectomies.
  • Ultrasonic scissors alone achieved hemostasis, controlling lingual arteries and veins.
  • No operative complications, including bleeding or wound healing issues, were reported.

Conclusions:

  • Ultrasonic scissors provide effective coagulation and cutting, rendering glossectomy simple and bloodless.
  • This technique is a recommended addition to the surgical armamentarium for glossectomy.
  • The instrument's dual action simplifies hemostasis and reduces operative risks.