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Harmonic scalpel for a bloodless partial glossectomy: a case report.
M Irfan1, Y A Aliyu, A Baharudin
1Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia. irfan@kb.usm.my
The Medical Journal of Malaysia
|November 24, 2011
Summary
Tongue surgery often involves significant bleeding due to rich blood supply. This case study explores using an ultrasonic harmonic scalpel for partial glossectomy, a novel approach for better hemostasis during tongue cancer removal.
Area of Science:
- Surgical Oncology
- Head and Neck Surgery
Background:
- Intraoperative bleeding is a common complication in tongue surgery.
- The lingual vessels contribute to a bloody operative field.
- Electrocautery is a standard method for hemostasis in these procedures.
Observation:
- The ultrasonic harmonic scalpel is a newer technology for glossectomy.
- This report details a case of partial glossectomy using this device.
- The patient presented with squamous cell carcinoma on the lateral border of the tongue.
Findings:
- The ultrasonic harmonic scalpel was employed for a partial glossectomy.
- This technique offers a potentially improved method for controlling bleeding during tongue surgery.
Implications:
- The ultrasonic harmonic scalpel may offer advantages in managing intraoperative bleeding during glossectomy.
- Further research into this technique could refine surgical approaches for tongue cancer.
- This case highlights the potential of new technologies in head and neck cancer surgery.