Abstract
Aim
We designed a prospective randomized study to assess the outcome of Colorado microdissection needle in comparison with conventional surgical blade for performing neck dissections.
Materials and Methods
Sixty patients who underwent neck dissection for oral cancers were randomly allocated into two groups. The outcome measurements were in terms of cosmetic outcome of neck scar, intraoperative blood loss, over all operative time, and postoperative neck drain assessment.
Results
The use of microdissection needle in performing skin incision and neck dissection eliminates the need for local anesthetic with vasoconstrictor along with significant reduction in intraoperative blood loss, postoperative drainage and with acceptable cosmetic outcome. No significant difference was seen in perioperative and postoperative complications between both groups.
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References
Farwell DG, Reilly DF, Weymuller EA Jr, Greenberg DL, Staiger TO, Futran NA (2002) Predictors of perioperative complications in head and neck patients. Arch Otolaryngol 128(5):505–511
Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE (2007) Development and validation of a novel scar evaluation scale. Plast Reconstr Surg. 120(7):1892–1897
Algadiem EA et al (2016) Blood loss estimation using gauze visual analogue. Trauma Mon 21(2):e34131. https://doi.org/10.5812/traumamon.34131
Alvi A (1997) Electrocutting cervical skin incisions: a cosmetic assessment. Oper Tech Otolaryngol Head Neck Surg 8(3):168–172. https://doi.org/10.1016/s1043-1810(97)80023-1
Osguthorpe JD (1992) Occupational human immunodeficiency virus exposure: risks to the health care worker. Otolaryngol Clin North Am 25:1341–1354
Butler PEM, Barry-Walsh C, Curren B, Grace PA, Leader M, Bouchier-Hayes D (1991) Improved wound healing with a modified electrosurgical electrode. Br J Plast Surg 44(7):495–499. https://doi.org/10.1016/0007-1226(91)90004-4
Nitta N, Fukami T, Nozaki K (2011) Electrocautery skin incision for neurosurgery procedures. Neurol Med Chir 51(1):88–91. https://doi.org/10.2176/nmc.51.88
Papay FA, Stein J, Luciano M, Zins JE (1998) The microdissection cautery needle versus the cold scalpel in bicoronal incisions. J Craniofac Surg 9(4):344–347. https://doi.org/10.1097/00001665-199807000-00010
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We confirm that this study was not funded by any organization.
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Kumar, P.S., Rodrigues, E., Dhupar, V. et al. A Randomized Control Trial to Assess Intraoperative and Postoperative Outcomes of Colorado Microdissection Needle Versus Conventional Surgical Knife in Neck Dissection. J. Maxillofac. Oral Surg. 19, 506–510 (2020). https://doi.org/10.1007/s12663-020-01377-0
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DOI: https://doi.org/10.1007/s12663-020-01377-0