A Randomized Control Trial to Assess Intraoperative and Postoperative Outcomes of Colorado Microdissection Needle Versus
- PDF / 430,208 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 40 Downloads / 183 Views
CLINICAL PAPER
A Randomized Control Trial to Assess Intraoperative and Postoperative Outcomes of Colorado Microdissection Needle Versus Conventional Surgical Knife in Neck Dissection Praveen Satish Kumar1 • Edlyn Rodrigues1 • Vikas Dhupar1 • Sthita Gurrala1
Received: 24 October 2019 / Accepted: 16 April 2020 Ó The Association of Oral and Maxillofacial Surgeons of India 2020
Abstract Aim We designed a prospective randomized study to assess the outcome of Colorado microdissection needle in comparison with conventional surgical blade for performing neck dissections. Materials and Methods Sixty patients who underwent neck dissection for oral cancers were randomly allocated into two groups. The outcome measurements were in terms of cosmetic outcome of neck scar, intraoperative blood loss, over all operative time, and postoperative neck drain assessment. Results The use of microdissection needle in performing skin incision and neck dissection eliminates the need for local anesthetic with vasoconstrictor along with significant reduction in intraoperative blood loss, postoperative drainage and with acceptable cosmetic outcome. No significant difference was seen in perioperative and postoperative complications between both groups. Keywords Colorado tip Microdissection Needle Neck dissection OSCC SND
Introduction Neck dissection (ND) forms an integral part of treatment in oral squamous cell carcinomas (OSCC). Neck dissection is a procedure which involves removal of lymph nodes from specific areas of the neck and may include removal of & Praveen Satish Kumar [email protected] 1
important structures such as internal jugular vein, spinal accessory nerve and sternocleidomastoid muscle. ND involves working around vital structures, so there is an inherent possibility for intraoperative and postoperative complications. Most oral cancer patients also suffer from other systemic diseases which may preclude the use of certain drugs, namely local anesthetics with adrenaline, and may also have increased tendencies for intraoperative bleeding. Performing surgery in such patients demands high level of surgical skills with diligent use of available technology to prevent complications. Several studies have demonstrated that the operative time and blood loss are related to the clinical outcomes and the complications [1]. Head and neck surgeons have traditionally been using scalpel dissections to perform ND along with the use of conventional electrosurgical unit which uses a large tip. Some of the disadvantages of using conventional scalpel blade for skin incision involve the use of large amount of vasoconstrictors to reduce bleeding from the skin incision. The present prospective randomized trial study was designed to evaluate the efficacy and safety of Colorado microneedle in comparison with conventional surgical blade along with conventional large tip cautery in ND. The primary objectives of this study were to assess the cosmetic outcome of the neck incision when microneedle is used for performing the entire procedure and a
Data Loading...
