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Applications of electrothermal bipolar vessel sealing devices in transoral head and neck surgery

Published online by Cambridge University Press:  09 October 2023

Scott Chandrasiri Open the ORCID record for Scott Chandrasiri [Opens in a new window] ,
Raguwinder Bindy Singh Sahota ,
Suren Krishnan ,
Andrew Foreman ,
Ahmed Bassiouni ,
Jake Jervis-Bardy  and
J C Hodge
Scott Chandrasiri*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
Raguwinder Bindy Singh Sahota
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia ENT/Head and Neck Unit, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK Department of Medical and Social Sciences, University of Leicester, Leicester, UK
Suren Krishnan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
Andrew Foreman
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
Ahmed Bassiouni
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
Jake Jervis-Bardy
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
J C Hodge
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
*
Corresponding author: Scott Chandrasiri; Email: scott.chandrasiri@student.adelaide.edu.au
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Abstract

Objective

Electrothermal bipolar vessel sealing devices are electrosurgical devices that seal tissues and blood vessels up to 7 mm in diameter. This paper discusses our experience using electrothermal bipolar vessel sealing devices in transoral head and neck surgery.

Methods

Electrothermal bipolar vessel sealing devices were used in five patients with lesions of varying size and type within the pharyngo-larynx. These were treated transorally by the otolaryngology department at the Royal Adelaide Hospital. Either the Medtronic LigaSure or BiZact devices were used for transoral resection, debulking or division of these lesions.

Results

Electrothermal bipolar vessel sealing devices were considered helpful in four out of the five cases. Success was dependent on suitable transoral access. A single unsuccessful case reflected the LigaSure jaw's inability to engage a large tumour effectively.

Conclusion

Electrothermal bipolar vessel sealing devices can be safely deployed transorally to treat lesions of the upper aero-digestive tract in selected patients. Further studies investigating additional indications would broaden applications of this approach.

Keywords

Cancerhead and neck cancersurgerystridorlarynxnasopharynxoropharynxpharynx
Type
In this Issue
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 4 , April 2024 , pp. 457 - 460
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Scott Chandrasiri takes responsibility for the integrity of the content of the paper

Presented at the Australian Society of Otolaryngology Head and Neck Surgery (‘ASOHNS’) 71st Annual Scientific Meeting, 17–19 September 2021, Melbourne, Australia.

References

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