Role of “revascularisation surgery” in the management of mandibular osteoradionecrotic lesions: A report of 21 years of experience

Bettoni, Jérèmie; Olivetto, M.; Duisit, Jérôme; Caula, Alexandre; Bitar, G.; Lengelé, Benoît; Testelin, Sylvie; Dakpe, Stéphanie; Devauchelle, Bernard

doi:10.1111/coa.13272

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Furthermore, recent studies had shown that PET-CT-guided surveillance is a suitable method to detect recurrent disease. 10 However, these methods are associated with greater costs and stress for the patient due to significant waiting times. Our study aimed to report 21 years of "revascularisation surgery," based on reported effectiveness and complication rates, for the specific management of mandibular osteoradionecrosis.…”

Section: Clinical Applicability Of the Studymentioning

confidence: 99%

Accuracy of fine‐needle aspiration cytology in suspicious neck nodes after radiotherapy: Retrospective analysis of 100 patients

Kotowski

Brkic

Koperek

et al. 2019

Clinical Otolaryngology

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Section: Clinical Applicability Of the Studymentioning

confidence: 99%

Accuracy of fine‐needle aspiration cytology in suspicious neck nodes after radiotherapy: Retrospective analysis of 100 patients

Kotowski

Brkic

Koperek

et al. 2019

Clinical Otolaryngology

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“…5 Newer devices have recently emerged alongside old technologies. BiZact™ is a bipolar 'current-carrying' device that can seal vessels through applying only the required energy levels 10 ; thus, it has been termed a 'softened hot' technique. 10 When comparing the cold dissection technique and current-carrying electrocautery instruments, such as BiZact, the latter has been shown to reduce intra-operative bleeding and operative time and to reduce post-operative pain in comparison with cold dissection.…”

Section: Introductionmentioning

confidence: 99%

“…BiZact™ is a bipolar 'current-carrying' device that can seal vessels through applying only the required energy levels 10 ; thus, it has been termed a 'softened hot' technique. 10 When comparing the cold dissection technique and current-carrying electrocautery instruments, such as BiZact, the latter has been shown to reduce intra-operative bleeding and operative time and to reduce post-operative pain in comparison with cold dissection. 11 Before the Covid-19 pandemic, the most important criteria for the ideal tonsillectomy technique were: (1) shorter duration, (2) reduced post-operative pain, (3) minimised possibility for peri-operative bleeding, and (4) safety and efficacy.…”

Section: Introductionmentioning

confidence: 99%

Comparison of aerosol generation between electrocautery and cold dissection tonsillectomy

et al. 2023

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Objective Coronavirus disease 2019 can spread through aerosols produced by surgical procedures, but knowledge of the extent of aerosol production and the risk posed by many common procedures does not exist. This study analysed aerosol generation during tonsillectomy and how it differs between distinct surgical techniques and instruments. The results can be used in risk assessment during current and future pandemics and epidemics. Method An optical particle sizer was used to measure particle concentrations generated during tonsillectomy from the perspectives of the surgeon and other staff. Coughing is commonly used as a reference for high-risk aerosol generation; therefore, coughing and the operating theatre's background concentration were chosen as reference values. Different instruments were also compared to find the safest way to perform the tonsillectomy from the perspective of airborne transmission. Results Eighteen tonsillectomies were evaluated; all techniques mostly generated less than 1 μm particles. For the surgeon, bipolar electrocautery significantly exceeded the particle generation of coughing in both total and less than 1 μm particles and was found to produce significantly higher total and less than 1 μm aerosol concentrations than cold dissection and BiZact. No technique exposed other staff to a greater aerosol concentration than is generated by a cough. Conclusion Bipolar electrocautery generated high aerosol concentrations during tonsillectomy; cold dissection generated significantly less. The results support cold dissection as the primary tonsillectomy technique, particularly during the epidemics of airborne diseases.

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Role of “revascularisation surgery” in the management of mandibular osteoradionecrotic lesions: A report of 21 years of experience

Cited by 2 publications

References 10 publications

Accuracy of fine‐needle aspiration cytology in suspicious neck nodes after radiotherapy: Retrospective analysis of 100 patients

Accuracy of fine‐needle aspiration cytology in suspicious neck nodes after radiotherapy: Retrospective analysis of 100 patients

Comparison of aerosol generation between electrocautery and cold dissection tonsillectomy

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