Abstract | INTRODUCTION: METHODS: 40 patients undergoing selective neck dissection for primary oral malignancy were enrolled in this study. The Harmonic scalpel (HS) group consisted of 20 patients, and the electo cautery technique (ET) group had 20 patients. The following variables were examined: shoulder pain by visual analog scoring and shoulder function by means of degree of abduction and graded was grade I-0-90°; grade II-90-135°; grade III-135-180°. They assessment was done at the time of discharge, 1month and 3month and six month after surgery. RESULTS: Though shoulder pain was almost similar at 1st week and 1month, however at 2nd and 6th month shoulder pain was found to be significantly lesser in harmonic scalpel group as compared to electro cautery. At 1week more no of patients had restricted shoulder mobility in HS as compared to EC group. But at 6months the shoulder function was found to be significantly better in HS group as compared to EC group (p value<0.05). CONCLUSION: Spinal accessory nerve function recovery after selective neck dissection is better in HS group as compared to the electro cautery group.
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Authors | Arulalan Mathialagan, Roshan K Verma, Naresh K Panda |
Journal | Oral oncology
(Oral Oncol)
Vol. 61
Pg. 142-5
(10 2016)
ISSN: 1879-0593 [Electronic] England |
PMID | 27688117
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2016 Elsevier Ltd. All rights reserved. |
Topics |
- Electrocoagulation
- Female
- Humans
- Male
- Middle Aged
- Neck Dissection
(adverse effects, methods)
- Shoulder
(physiopathology)
- Shoulder Pain
(etiology)
- Surgical Instruments
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