Comparison of spinal accessory dysfunction following neck dissection with harmonic scalpel and electrocautery – A randomized study

Mathialagan, Arulalan; Verma, Roshan; Panda, Naresh K.

doi:10.1016/j.oraloncology.2016.08.010

Cited by 8 publications

(19 citation statements)

References 17 publications

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“…The most common histology was squamous cell carcinoma in our study, which is similar to the study done by Arulalan et al [4] on 40 patients in 2016, Comparison of spinal accessory dysfunction following neck dissection with harmonic scalpel and electrocautery -A randomized study. Study done in year 2012 by Ramachandra NB 31 "The Hierarchy of oral cancer in India" and in 2010 a study by Shenoi R et al [5] the most common hitopathology was squamous cell carcinoma.…”

Section: Histologysupporting

confidence: 90%

“…In a study by Arulalan et al [4] on 40 patients in 2016, Comparison of spinal accessory dysfunction following neck dissection with harmonic scalpel and electrocautery -A randomized study, the mean age was 48 years in electrocautery arm and 45.5 yrs in harmonic arm. Which is comparable to our study (50 and 52 yrs respectively).…”

Section: Age and Sex Distributionmentioning

confidence: 99%

“…The study done by Arulalan et al [4] on 40 patients in 2016, the major population belonged to the stage IV, that is 85% of the patients.…”

Section: Stage Distributionmentioning

confidence: 99%

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Spinal Accessory Dysfunction Following Neck Dissection with Harmonic Scalpel V/S Electrocautery – A Single Centre Experience

Kaushik

Sucheta

Malhotra

et al. 2019

JAMMR

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Aims: This study is an effort towards comparing the efficacy of the Harmonic Focus and Electrosurgical technique with regard to nerve injury especially spinal accessory nerve and its morbidity postoperatively after neck dissection. Sample: Ninety patients of oral carcinoma who required neck dissection were included in the study. Study Design: This is a prospective study. Place and Duration of Study: Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India for a period of 17 months from November 2016 to March 2018. Methodology: Patients’ post-operative recovery was studied prospectively by using parameters pertaining to shoulder function and shoulder pain. Results: There were significant differences in the pain and abduction deformity at various time periods after surgery. However differences in the quality of life did not show significant difference at the end of 3 months. For up to one month pain scores were lower for Harmonic Focus and shoulder function was better through 3 months. Conclusion: Though the technique of neck dissection (harmonic v/s electro cautery) has significant impact on shoulder dysfunction, despite that in postoperative period shoulder function measured by way of shoulder pain and shoulder abduction recover almost fully during follow-up period without causing significant morbidity and with minimal effect on quality of life. There are few recommendations we would like to suggest that if incorporated, they might significantly affect the outcome and better results.

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Section: Histologysupporting

confidence: 90%

Section: Age and Sex Distributionmentioning

confidence: 99%

See 1 more Smart Citation

Spinal Accessory Dysfunction Following Neck Dissection with Harmonic Scalpel V/S Electrocautery – A Single Centre Experience

Kaushik

Sucheta

Malhotra

et al. 2019

JAMMR

View full text Add to dashboard Cite

show abstract

“…4 Mathialagan and cols realized a randomized clinical trial, comparing the efficacy of the Harmonic Focus Scissors MR (Ethicon Jhonson&Jhonson) and the use of electrocautery to avoid the accessory spinal nerve during neck dissection for oral cancer, evaluating the shoulder function and pain in the follow up after surgery, with more incidence of pain and shoulder weakness in the second group inclusive 6 months after surgery. 5 Song Fan and cols. demonstrated the use of robotic surgery assisted by ultrasonic scissors for the benign lesions resection in the thong base through a transoral approach with a decrease in surgical time and bleeding, and less nerve damage in neck dissections.…”

Section: Discussionmentioning

confidence: 99%

“…5 One of the greatest advantages is the reduction of surgical time by diminish the instruments interchange for cut and dissection, reduction of bleeding with an excellent hemostasis by coagulation and cut simultaneously, with less heat production and surrounding tissue damage, and finally less post-surgical pain.…”

mentioning

confidence: 99%