American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 31, Issue 6 , Pages 442-447 , November 2010

Harmonic Scalpel vs “cold knife” dissection in uvulopalatopharyngoplasty

Received 28 April 2009

References 

  1. Rombaux P, Hamoir M, Bertrand B, et al. Postoperative pain and side effects after uvulopalatopharyngoplasty, laser-assisted uvulopalatoplasty, and radiofrequency tissue volume reduction in primary snoring. Laryngoscope. 2003;113:2169–2173
  2. Van den Broek E, Richard W, van Tinteren H, et al. UPPP combined with radiofrequency thermotherapy of the tongue base for the treatment of obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol. 2008;265:1361–1365
  3. Pavelec V, Bohmanova J. A comparison of postoperative recovery from laser-assisted uvulopalatoplasty using different laser systems. Otolaryngol Head Neck Surg. 2008;138:69–73
  4. Carroll T, Ladner K, Meyers AD. Alternative surgical dissection techniques. Otolaryngol Clin North Am. 2005;38:397–411
  5. Salami A, Dellepiane M, Bavazzano M, et al. New trends in head and neck surgery: a prospective evaluation of the Harmonic Scalpel. Med Sci Monit. 2008;14:PI1–5
  6. Salami A, Verecellotti T, Mora R, et al. Piezoelectric bone surgery in otologic surgery. Otolaryngol Head Neck Surg. 2007;136:484–485
  7. Friedman M, Vidyasagar R, Bliznikas D, et al. Patients selection and efficacy of pillar implant technique for treatment of snoring and obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg. 2006;134:187–196
  8. Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg. 2002;127:13–21
  9. Siperstein AE, Berber E, Morkoyun E. The use of the harmonic scalpel vs. conventional knot tying for vessel ligation in thyroid surgery. Arch Surg. 2002;137:137–142
  10. Lachanas VA, Hajiioannou JK, Karatzias GT, et al. Comparison of LigaSure vessel sealing system, harmonic scalpel, and cold knife tonsillectomy. Otolaryngol Head Neck Surg. 2007;137:385–389
  11. Sinha UK, Gallagher LA. Effects of steel scalpel, ultrasonic scalpel, CO2 laser, and monopolar and bipolar electrosurgery on wound healing in guinea pig oral mucosa. Laryngoscope. 2003;11:228–236
  12. Diamantis T, Kontos M, Arvelakis A, et al. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, ultracison, and ligature. Surg Today. 2006;36:908–913
  13. Eman TA, Cuschieri A. How safe is high-power ultrasonic dissection?. Ann Surg. 2003;237:186–191
  14. Awwad JT, Isaacson K. The Harmonic Scalpel: an intraoperative complication. Obstet Gynecol. 1996;88:718–720
  15. Salas-Provance MB, Kuehn DP. Speech status following uvulopalatopharyngoplasty. Chest. 1990;97:111–117
  16. Fujita S, Conway W, Zorick F, et al. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg. 1981;89:923–934

 Declaration of interest: The authors report no conflicts of interest and no financial support for the work. The authors alone are responsible for the content and writing of the paper.

PII: S0196-0709(09)00162-8

doi: 10.1016/j.amjoto.2009.08.009

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 31, Issue 6 , Pages 442-447 , November 2010