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Comparability of spinal accent dysfunction following neck dissection with harmonic scalpel and electrocautery – A randomized research.
Oral Oncol. 2016 Oct;61:142-5
Authors: Mathialagan A, Verma RK, Panda NK
Summary
INTRODUCTION: Harmonic scalpel is being more and more utilized in neck dissection as various to standard electro-cautery for attaining haemostasis. Use of harmonic scalpel has been proven to considerably cut back intra operative blood loss and intra operative time in neck dissection. However how secure is it as regards to nerve harm (spinal accent nerve and different nerves) throughout neck dissection. We supposed to review the spinal accent nerve harm throughout neck dissection by each harmonic scalpel and electro cautery approach and in contrast postoperative restoration of shoulder operate after neck dissection.
METHODS: 40 sufferers present process selective neck dissection for major oral malignancy have been enrolled on this research. The Harmonic scalpel (HS) group consisted of 20 sufferers, and the electo cautery approach (ET) group had 20 sufferers. The next variables have been examined: shoulder ache by visible analog scoring and shoulder operate via diploma of abduction and graded was grade I-Zero-90°; grade II-90-135°; grade III-135-180°. They evaluation was achieved on the time of discharge, 1month and 3month and 6 month after surgical procedure.
RESULTS: Although shoulder ache was nearly comparable at 1st week and 1month, nevertheless at 2nd and sixth month shoulder ache was discovered to be considerably lesser in harmonic scalpel group as in comparison with electro cautery. At 1week extra no of sufferers had restricted shoulder mobility in HS as in comparison with EC group. However at 6months the shoulder operate was discovered to be considerably higher in HS group as in comparison with EC group (p worth<Zero.05).
CONCLUSION: Spinal accent nerve operate restoration after selective neck dissection is healthier in HS group as in comparison with the electro cautery group.
PMID: 27688117 [PubMed – indexed for MEDLINE]