scholarly journals Harmonic Scalpel over Electrocautery, Evaluation of Peroperative Blood Loss in Selective Neck Dissection: A Comparative Study

2018 ◽  
Vol 3 (2) ◽  
pp. 475-479
Author(s):  
Manish Agrawal ◽  
Sanjeev Kumar Thakur ◽  
Quazi Billur Rahman ◽  
Atul Kumar Agrawal ◽  
Nancy Bansal Agrawal
Keyword(s):  
Blood Loss ◽  
Neck Dissection ◽  
Harmonic Scalpel ◽  
Maxillofacial Surgery ◽  
Standard Of Care ◽  
Oral And Maxillofacial Surgery ◽  
Selective Neck Dissection ◽  
Medical College ◽  
Number Of Patients ◽  
Test Of Significance

Introduction: The use of Harmonic Scalpel (HS) over Electrocautery (EC) in neck dissection has become standard of care in recent years. However, both the devices are presently widely used in practice and still serve large number of patients globally according to surgeon's choice and cost effectiveness.Objective: To evaluate the amount of peroperative blood loss in cancer patient undergoing selective neck dissection (Levels I, II and III) with Harmonic Scalpel (HS) and Electrocautery (EC).Methodology: The study was performed in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Biratnagar Hospital PVT LTD and Birat Medical College and Teaching Hospital, Nepal from June 2012 to February 2018. A total of 40 patients, 27 male and 13 female, aged 45 to 70 years diagnosed with oral cavity cancer were included in this prospective study. Two groups were formed, 20 patients in each group based on the surgical instrument used; Harmonic Scalpel (HS) and Electrocautery (EC). Data for age and sex of the patients were collected preoperatively. The surgery was performed under general anesthesia with endotracheal intubation and standard protocol was maintained during surgery. Amount of peroperative blood loss was measured and recorded. Data was processed and analyzed using SPSS and was compiled and test of significance was done using unpaired't' test.Results: The amount of peroperative blood loss was significantly lower in Harmonic Scalpel (HS) group then in Electrocautery (EC) group.Conclusion: Results from this study suggests that the Harmonic Scalpel (HS) is an effective device to reduce peroperative blood loss during selective neck dissection.  BJHS 2018;3(2)6: 475-479

scholarly journals Antiplatelet drugs: a review of pharmacology and the perioperative management of patients in oral and maxillofacial surgery

2020 ◽  
Vol 102 (1) ◽  
pp. 9-13
Author(s):  
H Mahmood ◽  
I Siddique ◽  
A McKechnie
Keyword(s):  
Antiplatelet Therapy ◽  
Oral Surgery ◽  
Safety Concern ◽  
Maxillofacial Surgery ◽  
Antiplatelet Agents ◽  
Antiplatelet Drugs ◽  
Current Evidence ◽  
Bleeding Complications ◽  
Oral And Maxillofacial Surgery ◽  
Number Of Patients

Introduction An increasing number of patients are taking oral antiplatelet agents. As a result, there is an important patient safety concern in relation to the potential risk of bleeding complications following major oral and maxillofacial surgery. Surgeons are increasingly likely to be faced with a dilemma of either continuing antiplatelet therapy and risking serious haemorrhage or withholding therapy and risking fatal thromboembolic complications. While there are national recommendations for patients taking oral antiplatelet drugs undergoing invasive minor oral surgery, there are still no evidence-based guidelines for the management of these patients undergoing major oral and maxillofacial surgery. Methods MEDLINE and EMBASE databases were searched to retrieve all relevant articles published to 31 December 2017. Findings A brief outline of the commonly used antiplatelet agents including their pharmacology and therapeutic indications is discussed, together with the haemorrhagic and thromboembolic risks of continuing or altering the antiplatelet regimen in the perioperative period. Finally, a protocol for the management of oral and maxillofacial patients on antiplatelet agents is presented. Conclusions Most current evidence to guide decision making is based upon non-randomised observational studies, which attempts to provide the safest possible management of patients on antiplatelet therapy. Large randomised clinical trials are lacking.

The Utility of the Harmonic Scalpel in Selective Neck Dissection

2011 ◽  
Vol 144 (6) ◽  
pp. 894-899 ◽  
Author(s):  
Scott G. Walen ◽  
Luke R. Rudmik ◽  
Elijah Dixon ◽  
T. Wayne Matthews ◽  
Steven C. Nakoneshny ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Harmonic Scalpel ◽  
Selective Neck Dissection

Be your own donor: An insight into the technique of Autologous blood transfusion

2011 ◽  
Vol 3 (2) ◽  
pp. 28-30
Author(s):  
Rajendra Desai ◽  
Johnathan Theodore ◽  
Shubhalakshmi LNU ◽  
Kiran V. Nesvi
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Maxillofacial Surgery ◽  
Major Influence ◽  
Oral And Maxillofacial Surgery ◽  
Autologous Blood Transfusion ◽  
Mortality And Morbidity ◽  
Insight Into

Abstract Blood loss has a major influence on mortality and morbidity after surgery. Homologous transfusion has long been in use. With the awareness of associated complications such as risk of transmission of hepatitis and HIV associated with use of homologous transfusion, autologous blood transfusion has gained importance. This paper is an attempt to review the method of autologous blood transfusion, as well as its application in oral and maxillofacial surgery.

scholarly journals Annual Clinical Audit of Indoor, Dhaka Dental College and Hospital (January 2004 - December 2005)

2015 ◽  
Vol 5 (2) ◽  
pp. 37-39
Author(s):  
Nasir Uddin ◽  
MU Ahmed ◽  
IA Haider ◽  
AKM Sobhan Morol
Keyword(s):  
Surgical Treatment ◽  
Clinical Audit ◽  
Elective Surgery ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Dental Research ◽  
Number Of Patients ◽  
Research And Education

Clinical audit of indoor, Dept. of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital was performed for two years, January 2004 to December 2005. Data included all the indoor patients who were admitted for elective surgery. Day cases were excluded from the study. The audit was performed to assess the nature of pathology and number of patients admitted for surgical treatment. Bangladesh Journal of Dental Research and Education Vol.5(2) 2015: 37-39

scholarly journals Transfusion Requirements in Microsurgical Reconstruction in Maxillofacial Surgery: Ethical and Legal Problems of Patients who are Jehovah's Witnesses

2013 ◽  
Vol 6 (1) ◽  
pp. 31-36
Author(s):  
Lorena Pingarron Martin ◽  
Javier Arias-Gallo ◽  
Hanna Perez-Chrzanowska ◽  
Pilar Ruiz Seco ◽  
Javier Gonzalez M. Moro ◽  
...  
Keyword(s):  
Head And Neck ◽  
Moral Dilemma ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Jehovah’S Witnesses ◽  
Jehovah's Witnesses ◽  
Patients With Cancer ◽  
Neck Tumors ◽  
Number Of Patients ◽  
Transfusion Requirements

Objective To study transfusion requirements in patients with cancer undergoing head and neck reconstructive surgery and to discuss surgical and anesthetic strategies to reduce blood loss when the patient is a Jehovah's Witness. Material and Methods A descriptive study to expose the percentage of blood transfusions performed in patients with cancer undergoing microsurgical reconstructions in the department of oral and maxillofacial surgery of the referred hospital in the past 9 years. Results Two hundred thirty-seven microsurgical reconstructions were performed in head and neck tumors between January 2001 and December 2009. Statistical analysis shows a significant decrease ( p = 0.035) in the number of patients needing transfusions patients in recent years. Conclusions The treatment of patients who are Jehovah's Witnesses is an ethical and moral dilemma for the clinician and in particular for surgeons.

scholarly journals Knowledge and Attitude of Patients toward Dental Implants as an Option for Replacement of Missing Teeth

2013 ◽  
Vol 14 (1) ◽  
pp. 115-118 ◽  
Author(s):  
AR Yusuf Ahammed ◽  
Suprakash Boddu ◽  
Amit Thareja ◽  
Raghavendra Kandaswamy ◽  
Nilesh Kumar ◽  
...  
Keyword(s):  
Dental Implants ◽  
Treatment Modality ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Missing Teeth ◽  
Level Of Knowledge ◽  
Test Of Significance ◽  
Knowledge And Attitude ◽  
Student’S T ◽  
Implant Treatment

ABSTRACT Objective The present study was undertaken to access the level of knowledge and attitude of patients toward implant treatment as an option for replacement of missing teeth. Materials and methods An epidemiological study was conducted among 440 subjects who attended the OPD of two Departments (Prosthodontics and Oral and Maxillofacial Surgery). A self-administered structured closed ended questionnaire pretested through a pilot survey was used in the study. The data were analyzed using the SPSS version 15.0. The Student's t-test and ANOVA test were used as test of significance. Results Out of 440 subjects asked about the knowledge and attitude about implants, only 33.3% had heard of implants as a treatment modality and dentists were the main source of information. Very few people had undergone implant surgery. The level of awareness increased with education. The main factor for not having implants was due to its high treatment charges. However, they were interested to know more about the implant treatment modality. Conclusion The survey was conducted in a dental institute and majority of the participants were unaware about dental implants. It also showed that need for providing more information to the patients about this treatment modality. How to cite this article Suprakash B, Ahammed ARY, Thareja A, Kandaswamy R, Kumar N, Bhondwe S. Knowledge and Attitude of Patients toward Dental Implants as an Option for Replacement of Missing Teeth. J Contemp Dent Pract 2013;14(1):115-118.

scholarly journals Application of ultrasonic vibrating scalpel(Harmonic Scalpel) to oral and maxillofacial surgery.

1998 ◽  
Vol 10 (1) ◽  
pp. 22-27
Author(s):  
Kazuo Sano ◽  
Joji Sekine ◽  
Yuji Narimatsu ◽  
Narihiro Kamasaki ◽  
Koichiro Osatomi ◽  
...  
Keyword(s):  
Harmonic Scalpel ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery

scholarly journals Role of Selective Neck Dissection in Primary T1, T2, N0 Neck Oral Tongue Carcinoma

2021 ◽  
Vol 27 (2) ◽  
pp. 130-138
Author(s):  
Mohammad Nazrul Islam ◽  
Kazi Shameemus Salam ◽  
Belayat Hossain Siddique ◽  
Md Lutfor Rahman ◽  
Rashedul Islam ◽  
...  
Keyword(s):  
Lymph Node ◽  
Neck Dissection ◽  
Cervical Lymph Node ◽  
Nodal Metastasis ◽  
Selective Neck Dissection ◽  
Occult Metastasis ◽  
Tongue Carcinoma ◽  
Oral Tongue ◽  
N0 Neck ◽  
Number Of Patients

Background: Oral tongue is one of the common site for carcinoma. 22% to 39% of oral cancer develops at this site. The high incidence of cervical lymph node metastasis, occult cervical metastasis, Provide a logical basis for treatment of the neck. The aim of this is study was to find out the importance of selective neck dissection in primary T1, T2, N0 Neck Oral Tongue Carcinoma. Methods: This cross-sectional study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital and National Institute of ENT, Dhaka. Thirty cases of primary T1, T2, N0 Neck Oral Tongue Carcinoma with inclusion criteria was enrolled as a study sample. Patients were evaluated by a complete clinical head and neck examination as well as Imaging (MRI) of the primary tumor and neck. All the data were compiled and sorted properly and the numerical data were analyzed statistically. The results were expressed as percentage and mean ± SD. Chi-square (x2) test or Fisher’s Exact test was done for comparison of data presented in categorical value and p value <0.05 was considered as the level of significance. Among the patients 23(76.7%) were T1 lesion and remaining 7(23.33%) were T2 lesion. Extended Supraomohyoid Selective Neck Dissection (SOSD) (I-IV) was done in all patients. Following histopathological examination, 8(26.67%) patients of N0 neck became positive for nodal metastasis. Results: The study showed that most commonly (50%) involved group of occult metastasis was upper deep cervical lymph node in submandibular area (level-I). Occult nodal metastasis was significantly common 87.5% among male patients than females (p=0.039) and also common 87.5% among <50 years age group (p=0.023). Neck node positive was significantly more 62.5% in T2 lesion (p=0.002) of oral tongue carcinoma. Conclusion: In this study, we found that a number of patients had been histopathologicallly detected micro-metastases in regional neck nodes in clinically N0 patients.So, Extended Supraomohyoid Selective neck dissection (I-IV) was appropriate in T1,T2, N0 Neck Oral Tongue Carcinoma. Bangladesh J Otorhinolaryngol 2021; 27(2): 130-138

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