Ultracision: An Alternative to Electrocautery in Revision Cochlear Implant Surgery

Laszig, Roland; Ridder, Gerd Jürgen; Aschendorff, Antje; Fradis, Milo

doi:10.1097/00005537-200201000-00034

Cited by 19 publications

(8 citation statements)

References 6 publications

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“…Numerous articles and authors have raised concern regarding the use of electrosurgery in patients with cochlear implants. [5][6][7] However, none of these articles cite an explanation for this contraindication or data to support it. Many opponents to electrosurgery in patients with a cochlear implant cite the demonstrated potential for detrimental effects to cardiac pacemakers and extrapolate this to cochlear implants.…”

Section: Discussionmentioning

confidence: 99%

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>

Jeyakumar

Wilson

Sorrel

et al. 2013

JAMA Otolaryngol Head Neck Surg

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Section: Discussionmentioning

confidence: 99%

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>

Jeyakumar

Wilson

Sorrel

et al. 2013

JAMA Otolaryngol Head Neck Surg

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“…It has been broadly used in video-assisted surgeries and recently is has been used in otolaryngological and head and neck surgeries. Its properties are advocated by numerous authors [3][4][5][6][7][8][9][10][11][12][13] . In the study we hereby present, there was a trend towards a better hemostasis caused by the HUS, because the incisions made by such device did not bleed.…”

Section: Discussionmentioning

confidence: 99%

Wound healing in the jugal mucosa of rats with a cold blade scalpel and an ultrasonic harmonic scalpel

Masi¹,

Rocha²,

Mocellin³

et al. 2009

Braz. j. otorhinolaryngol. (Impr.)

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Ul trasound harmonic scalpel has been recently introduced in otorhinolaryngological procedures. Aim: to assess macro and microscopic evolution of the healing process of wounds created in the jugal mucosa of rats by the use of ultrasound scalpel. Method: we used 30 Wistar rats in which we made mucosal incisions on the right jugal mucosa with the ultrasound harmonic scalpel (USHS) and on the left side with the cold blade scalpel (CBS). Macroscopic and microscopic evaluations were carried out on the third, seventh and fourteenth days of postoperative. For the microscopic evaluation we used HE to asses the inflammatory process and the Sirius Red approach for collagens type I and III. Anti-CD 3 antibodies and anti-factor VIII assessed the concentration of T-lymphocytes and neovessels. Results: the USHS caused greater cell damage with reepitelization delay. Microscopy showed more intense inflammatory reactions and a loss in collagen build up, delay in scar maturation and a greater vessel neoformation. Conclusion: USHS brings about a greater lesion in the incision area; delayed regeneration; promotes greater inflammatory process and angiogenic activity; delays in fibroplasia and scar tissue maturation on the rats' jugal mucosa when compared to cold blade scalpel.

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“…Laszig et al 11 also discussed the contraindications to using either monopolar or bipolar electrosurgery on patients with CIs. The risks discussed were based on those outlined by Roland et al, 1 as well as the manufacturers' warranties of the CIs.…”

Section: Discussionmentioning

confidence: 99%

Electrosurgery after Cochlear Implantation: Eighth Nerve Electrophysiology

et al. 2004

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Ultracision: An Alternative to Electrocautery in Revision Cochlear Implant Surgery

Cited by 19 publications

References 6 publications

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>

Wound healing in the jugal mucosa of rats with a cold blade scalpel and an ultrasonic harmonic scalpel

Electrosurgery after Cochlear Implantation: Eighth Nerve Electrophysiology

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Ultracision: An Alternative to Electrocautery in Revision Cochlear Implant Surgery

Cited by 19 publications

References 6 publications

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery &amp; Adverse Affects on Cochlear Implants</alt-title>

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery &amp; Adverse Affects on Cochlear Implants</alt-title>

Wound healing in the jugal mucosa of rats with a cold blade scalpel and an ultrasonic harmonic scalpel

Electrosurgery after Cochlear Implantation: Eighth Nerve Electrophysiology

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Product

Resources

About

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>

Monopolar Cautery and Adverse Affects on Cochlear Implants<alt-title>Monopolar Cautery & Adverse Affects on Cochlear Implants</alt-title>