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Ultrasonic partial glossectomy.

Yoann Pons¹, Jérome Gauthier, Philippe Clément

¹Head and Neck Surgery Department, Val of Grace's Academic Military Hospital, Paris, France. pons.yoann@gmail.com

Head & Neck Oncology

|June 26, 2009

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The harmonic scalpel enables bloodless partial glossectomy, significantly reducing operative time. Surgeons should ligate the lingual artery to prevent potential post-operative bleeding complications.

Area of Science:

Surgical Oncology
Minimally Invasive Surgery

Background:

Partial glossectomy is standard for tongue cancer.
Effective hemostasis is crucial due to the tongue's vascularity.
The harmonic scalpel offers combined cutting and hemostasis.

Purpose of the Study:

To assess the benefits and risks of using a harmonic scalpel in partial glossectomy.
To compare outcomes with conventional monopolar hemostasis.

Main Methods:

Prospective study of 18 patients undergoing partial glossectomy with a harmonic scalpel.
Comparison with 12 prior cases using monopolar hemostasis.
Data collected on blood loss, operative time, complications, and oncologic outcomes.

Main Results:

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Zero median blood loss achieved with the harmonic scalpel.
Operative time reduced by 16 minutes (P < .001).
Two post-operative bleedings occurred, requiring ligation of the lingual artery.

Conclusions:

The harmonic scalpel facilitates rapid, bloodless partial glossectomy.
Prophylactic ligation of the lingual artery is recommended due to bleeding risk.
Acceptable resection margins and no recurrence were observed.